| NPI | 1215104518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: VA 0024167793) |
| Additional Taxonomies | 174400000X Specialist (Licence: VA 0017139137) |
| 174400000X Specialist (Licence: VA 0001153656) | |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2009-02-17 |