| NPI | 1538297171 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 174400000X Specialist (Licence: KS 14-00147)  | 
| Additional Taxonomies | 174400000X Specialist (Licence: MO 117739)  | 
| Enumeration Date | 2007-03-02 | 
| Last Update Date | 2007-07-08 |