| NPI | 1255735650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246Z00000X Specialist/Technologist, Other (Licence: KY AT1246) |
| Additional Taxonomies | 246Z00000X Specialist/Technologist, Other (Licence: OH AT004888) |
| Enumeration Date | 2014-10-14 |
| Last Update Date | 2015-12-29 |