| NPI | 1225164098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: KS 14-00812) |
| Additional Taxonomies | 174400000X Specialist (Licence: MO 116349) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2007-07-08 |