| NPI | 1174806988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor (Licence: PA pt02059) |
| Additional Taxonomies | 171W00000X Contractor (Licence: MD 23685) |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2011-09-28 |