| 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 |