| NPI | 1255888376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 247200000X Technician, Other (Licence: CT 001616) |
| Additional Taxonomies | 174400000X Specialist (Licence: CT 001616) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2016-09-07 |