| NPI | 1215751334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NONE) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: NONE) |
| Enumeration Date | 2024-11-14 |
| Last Update Date | 2024-11-14 |