| NPI | 1457676603 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 174400000X Specialist (Licence: CA OT 4025)  | 
| Additional Taxonomies | 174400000X Specialist (Licence: CA 1039152)  | 
| Enumeration Date | 2010-03-31 | 
| Last Update Date | 2010-03-31 |