| NPI | 1164619755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: GA MT001833) |
| Additional Taxonomies | 174400000X Specialist (Licence: CO MT.0018692) |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2022-06-30 |