| NPI | 1225252075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: CA PT27405) |
| Additional Taxonomies | 174400000X Specialist (Licence: CO 7218) |
| 174400000X Specialist (Licence: FL PT19607) | |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2007-07-08 |