NPI | 1053636092 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: KS 04-39438) |
Additional Taxonomies | 174400000X Specialist (Licence: MO 2014015770) |
Enumeration Date | 2010-04-01 |
Last Update Date | 2019-03-22 |