| NPI | 1235378530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: OR 5706) |
| Additional Taxonomies | 174400000X Specialist (Licence: WA 9306) |
| Enumeration Date | 2009-02-10 |
| Last Update Date | 2009-02-10 |