| NPI | 1306206933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: WA MA60201012) |
| Additional Taxonomies | 174400000X Specialist (Licence: OR 19929) |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2016-02-24 |