| NPI | 1366612319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: GA MT003552) |
| Additional Taxonomies | 174400000X Specialist (Licence: SC 2345) |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2015-10-23 |