| NPI | 1336103886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: CO DR.0068195) |
| Additional Taxonomies | 2085R0001X (Licence: VA 0101239767) |
| 2085R0001X (Licence: NV 15076) | |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2023-11-20 |