NPI | 1265563035 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174400000X Specialist (Licence: WA MA00018210) |
Additional Taxonomies | 174400000X Specialist (Licence: OR 10832) |
Enumeration Date | 2007-03-07 |
Last Update Date | 2012-03-12 |