| NPI | 1407138787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: CO 8264) |
| Additional Taxonomies | 174400000X Specialist (Licence: MO 00929) |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2011-09-13 |