| NPI | 1386947232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor (Licence: KS 1104207) |
| Additional Taxonomies | 171W00000X Contractor (Licence: MI 5501014827) |
| Enumeration Date | 2010-12-15 |
| Last Update Date | 2010-12-15 |