| NPI | 1427392331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor (Licence: WI 11116-146) |
| Additional Taxonomies | 171W00000X Contractor (Licence: WI 744-55) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |