| NPI | 1245634807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374700000X Technician (Licence: OR 0922-6010) |
| Additional Taxonomies | 374700000X Technician (Licence: OR 201211891CNA) |
| Enumeration Date | 2014-10-10 |
| Last Update Date | 2018-06-20 |