| NPI | 1558751313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 247200000X Technician, Other (Licence: CT 190101902519738) |
| Additional Taxonomies | 247200000X Technician, Other (Licence: CT ptn.0001272) |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2015-02-02 |