| NPI | 1063407237 |
|---|---|
| Former Name | NINA FUKUNAGA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: FL ME171099) |
| Additional Taxonomies | 2085R0001X (Licence: IN 01046939) |
| 2085R0001X (Licence: MI 4301053554) | |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2024-12-23 |