| NPI | 1497202279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: AK 107485) |
| Additional Taxonomies | 174400000X Specialist (Licence: AZ MT-21190) |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2016-09-08 |