NPI | 1326899634 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: TX 1573-0722) |
Additional Taxonomies | 174400000X Specialist (Licence: TX 1680-0722) |
175T00000X Peer Specialist (Licence: TX 1680-0722) | |
Enumeration Date | 2024-03-27 |
Last Update Date | 2024-03-27 |