| NPI | 1316621550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: OR 10248095) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA L9792) |
| Enumeration Date | 2023-06-08 |
| Last Update Date | 2025-02-03 |