| NPI | 1164557302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: KS 14-01010) |
| Additional Taxonomies | 174400000X Specialist (Licence: MO 117106) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2007-07-08 |