| NPI | 1467793695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX mt016082) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX 000573) |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2014-10-23 |