| NPI | 1073520839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX M2578) |
| Additional Taxonomies | 174400000X Specialist (Licence: AZ 35821) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2010-10-26 |