| NPI | 1336258235 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 174400000X Specialist (Licence: AZ 35407) | 
| Additional Taxonomies | 174400000X Specialist (Licence: CA A81280) | 
| Enumeration Date | 2006-08-30 | 
| Last Update Date | 2021-12-14 |