| NPI | 1508016627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: AZ PT 6833) |
| Additional Taxonomies | 174400000X Specialist (Licence: SC 4262) |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2008-09-25 |