| NPI | 1447234398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL 1447234398) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME73389) |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2013-06-10 |