| NPI | 1295854743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: AR OTR2109) |
| Additional Taxonomies | 174400000X Specialist (Licence: MS UNKNOWN AT THIS TIME) |
| 174400000X Specialist (Licence: TN 3763) | |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2009-10-06 |