| NPI | 1336275668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: KS 00642) |
| Additional Taxonomies | 174400000X Specialist (Licence: MO 004371) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2007-07-08 |