| NPI | 1336462894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: SC 1003) |
| Additional Taxonomies | 247200000X Technician, Other (Licence: SC 1003) |
| Enumeration Date | 2010-03-11 |
| Last Update Date | 2010-03-11 |