NPI | 1346647278 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171W00000X Contractor (Licence: MT 8079) |
Additional Taxonomies | 171W00000X Contractor (Licence: CO 0016656) |
Enumeration Date | 2014-11-20 |
Last Update Date | 2015-07-14 |