| NPI | 1164427423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: VA 0101238216) |
| Additional Taxonomies | 174400000X Specialist (Licence: MD D0063046) |
| 174400000X Specialist (Licence: DC MD035512) | |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2016-12-21 |