| NPI | 1417048133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: VA 0101222212) |
| Additional Taxonomies | 174400000X Specialist (Licence: MD D0044976) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2016-12-08 |