| NPI | 1386946739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171W00000X Contractor (Licence: VA 0119005121) |
| Additional Taxonomies | 171W00000X Contractor (Licence: MD 06393) |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2010-11-17 |