| NPI | 1174597397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0131X (Licence: AZ 0299) |
| Additional Taxonomies | 213ES0131X (Licence: TX 1431) |
| 213ES0131X (Licence: IL 016-003857) | |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2015-02-24 |