| NPI | 1164438909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: VA 101039180) |
| Additional Taxonomies | 174400000X Specialist (Licence: VA 0101039180) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2009-10-19 |