| NPI | 1427665363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246Z00000X Specialist/Technologist, Other |
| Additional Taxonomies | 246ZA2600X Specialist/Technologist, Other, Art, Medical (Licence: VA 1236000610) |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2020-09-24 |