| NPI | 1487005963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: ID AT-255) |
| Additional Taxonomies | 174400000X Specialist (Licence: ID MASG-1536) |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2017-04-07 |