| NPI | 1396039335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MI 5201007694) |
| Additional Taxonomies | 174400000X Specialist (Licence: WI 5169-26) |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2014-04-30 |