| NPI | 1295146850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: AL 122023) |
| Additional Taxonomies | 174400000X Specialist (Licence: GA CO129261) |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2026-03-13 |