| NPI | 1144472135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: WA RC 00044340) |
| Additional Taxonomies | 174400000X Specialist (Licence: WA RC00044340) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2008-10-21 |