| NPI | 1336410687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: FL PTA22730) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL MA48747) |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2012-01-18 |