| NPI | 1134309735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: AZ MT-28283) |
| Additional Taxonomies | 174400000X Specialist (Licence: WA MA00022823) |
| Enumeration Date | 2007-11-12 |
| Last Update Date | 2023-07-14 |