| NPI | 1346364312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: FL MA48125) |
| Additional Taxonomies | 174400000X Specialist (Licence: WA MA20039) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2007-07-08 |