| NPI | 1538117718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: CA G076752) |
| Additional Taxonomies | 2085R0001X (Licence: GA 43764) |
| 2085R0001X (Licence: FL 94608) | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2025-10-10 |