| NPI | 1457545204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: OR 11601) |
| Additional Taxonomies | 174400000X Specialist (Licence: WA MA00020332) |
| 174400000X Specialist (Licence: 41939200) | |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2007-09-04 |