| NPI | 1295969947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X (Licence: GA 95608) |
| Additional Taxonomies | 2086S0129X (Licence: CA A131396) |
| 2086S0129X (Licence: FL ME129104) | |
| 2086S0129X (Licence: VA 0101269130) | |
| 2086S0129X (Licence: MD D0089278) | |
| 2086S0129X (Licence: OH 35.099103) | |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2025-09-05 |