| NPI | 1093781676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: AZ 78728) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD068855l) |
| 174400000X Specialist (Licence: TX S5284) | |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2025-10-16 |