| NPI | 1124842844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: OR bap-e-10249925) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA 9964) |
| Enumeration Date | 2024-11-09 |
| Last Update Date | 2024-11-09 |