| NPI | 1245442888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA OT6574) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA PT12641) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2007-07-08 |