| NPI | 1043454309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: DC MD043492) |
| Additional Taxonomies | 2085R0001X (Licence: MD D0080010) |
| 2085R0001X (Licence: UT 39) | |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2025-12-01 |