| NPI | 1497178560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: CA 13681) |
| Additional Taxonomies | 174400000X Specialist (Licence: CT 00375) |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2014-01-27 |