| NPI | 1336922525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: UT 12621793-1103) |
| Additional Taxonomies | 374700000X Technician (Licence: UT 12621793-1103) |
| Enumeration Date | 2023-08-14 |
| Last Update Date | 2023-08-22 |