| NPI | 1295967859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: KY 000060090) |
| Additional Taxonomies | 174400000X Specialist (Licence: NC 88083) |
| Enumeration Date | 2009-08-17 |
| Last Update Date | 2009-08-17 |