NPI | 1194938654 |
---|---|
Other Name | L JEANETTE SOLUM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174400000X Specialist (Licence: OR 11258) |
Additional Taxonomies | 174400000X Specialist (Licence: WA MA00020451) |
Enumeration Date | 2007-05-08 |
Last Update Date | 2007-07-08 |