| NPI | 1285040618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: PR 31232R) |
| Additional Taxonomies | 174400000X Specialist (Licence: GA 75818) |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2017-02-24 |