| NPI | 1346435617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor (Licence: MD 05791) |
| Additional Taxonomies | 171W00000X Contractor |
| 171W00000X Contractor | |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2007-09-10 |