| NPI | 1184860991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 010862) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA PT-008985-E) |
| 174400000X Specialist (Licence: AZ 2078) | |
| 174400000X Specialist (Licence: CT 005504) | |
| 174400000X Specialist (Licence: NM 1225) | |
| 174400000X Specialist (Licence: UT 00899-2401-0) | |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2008-12-29 |