| NPI | 1306158100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: TX 113667) |
| Additional Taxonomies | 174400000X Specialist (Licence: MD 06224) |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2010-07-08 |