| NPI | 1174743058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA PT35845) |
| Additional Taxonomies | 174400000X Specialist (Licence: NC 11341) |
| 174400000X Specialist | |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2011-03-11 |