| NPI | 1558598441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: WI 62124) |
| Additional Taxonomies | 2085R0001X (Licence: MN 76495) |
| 2085R0001X (Licence: IL 036173978) | |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2025-06-09 |