| NPI | 1508031493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: FL ME159565) |
| Additional Taxonomies | 2085R0001X (Licence: LA 308660) |
| 2085R0001X (Licence: MT 23357) | |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2023-04-05 |