| NPI | 1265872501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: MS 45OT073) |
| Additional Taxonomies | 174400000X Specialist (Licence: MS PT0987) |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2013-07-01 |