NPI | 1356456040 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: OR MD13758) |
Additional Taxonomies | 174400000X Specialist (Licence: WA MD00034435) |
Enumeration Date | 2006-08-20 |
Last Update Date | 2007-07-08 |