| NPI | 1407046923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: PA PT004142E) |
| Additional Taxonomies | 174400000X Specialist (Licence: MD 17083) |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2007-07-31 |