| NPI | 1457555880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: MA AH 6997 OT) |
| Additional Taxonomies | 174400000X Specialist (Licence: OH OT-0347) |
| 174400000X Specialist (Licence: VA 0119-003726) | |
| 174400000X Specialist (Licence: 990333) | |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2010-01-28 |