| NPI | 1548411226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: FL PT24533) |
| Additional Taxonomies | 174400000X Specialist (Licence: OH PT012250) |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2011-04-10 |