| NPI | 1568615144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: 3885 BF) |
| Additional Taxonomies | 174400000X Specialist (Licence: WA HP10001571) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2008-10-28 |