| NPI | 1053585398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor (Licence: IL ACC/HEALTH--11/09/06) |
| Additional Taxonomies | 171W00000X Contractor (Licence: IL ACC/HEALTH) |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2008-04-17 |