| NPI | 1316124696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: OH 06337) |
| Additional Taxonomies | 174400000X Specialist (Licence: ME PA3362) |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2008-01-29 |