| NPI | 1154799682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: OH 00003250) |
| Additional Taxonomies | 174400000X Specialist (Licence: OH C-0002289) |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2015-09-21 |