| NPI | 1568607968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: FL 693544396) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL 693544398) |
| Enumeration Date | 2008-12-14 |
| Last Update Date | 2008-12-16 |