| NPI | 1386927655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: VA 2305207100) |
| Additional Taxonomies | 174400000X Specialist (Licence: OH 011387) |
| Enumeration Date | 2011-09-23 |
| Last Update Date | 2011-10-31 |