| NPI | 1477503639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: AR NBCOT 1049924) |
| Additional Taxonomies | 174400000X Specialist (Licence: AR OTR1619) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2007-07-09 |