| NPI | 1275281511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374700000X Technician (Licence: IA 111338) |
| Additional Taxonomies | 174400000X Specialist (Licence: IA 111338) |
| Enumeration Date | 2022-03-15 |
| Last Update Date | 2023-05-18 |