| NPI | 1144550419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171W00000X Contractor (Licence: OK 1560) |
| Additional Taxonomies | 171W00000X Contractor (Licence: TX 113223) |
| Enumeration Date | 2010-01-08 |
| Last Update Date | 2010-01-08 |