| NPI | 1043485881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor (Licence: CA OT 6675) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA OT 6675) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2008-04-23 |