| NPI | 1265874580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CO 645) |
| Additional Taxonomies | 174400000X Specialist (Licence: ID OT-1261) |
| 174400000X Specialist (Licence: MO 2013032199) | |
| 174400000X Specialist (Licence: UT 8750456-4201) | |
| 174400000X Specialist (Licence: AZ 6153) | |
| Enumeration Date | 2013-07-28 |
| Last Update Date | 2015-05-17 |