| NPI | 1558386532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: MD D26832) |
| Additional Taxonomies | 174400000X Specialist (Licence: DC MD039476) |
| 174400000X Specialist (Licence: MD BS/XS 1414907) | |
| 174400000X Specialist (Licence: DC CS1100141) | |
| 174400000X Specialist (Licence: MD M23921) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2011-07-11 |