| NPI | 1528283009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: WY 7714A) |
| Additional Taxonomies | 174400000X Specialist (Licence: NE 24258) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2011-01-05 |