NPI | 1538404926 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174400000X Specialist (Licence: LA LA5428) |
Additional Taxonomies | 174400000X Specialist (Licence: LA 5428) |
Enumeration Date | 2012-12-11 |
Last Update Date | 2013-09-18 |