| NPI | 1548210057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MO 141134) |
| Additional Taxonomies | 174400000X Specialist (Licence: KS 45278) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2012-11-29 |