| NPI | 1134522428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: ND 695) |
| Additional Taxonomies | 174400000X Specialist (Licence: MN 2920) |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2014-10-01 |