| NPI | 1366620205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: WA MA00024838) |
| Additional Taxonomies | 174400000X Specialist (Licence: WA 74834) |
| Enumeration Date | 2008-02-02 |
| Last Update Date | 2015-05-21 |