| NPI | 1235372020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor (Licence: CA 68684) |
| Additional Taxonomies | 171W00000X Contractor (Licence: CO 4969) |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2016-10-11 |