| NPI | 1528290160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL 14066) |
| Additional Taxonomies | 174400000X Specialist (Licence: NE 408) |
| Enumeration Date | 2009-08-16 |
| Last Update Date | 2015-01-16 |