| NPI | 1578120655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251V00000X Voluntary or Charitable (Licence: OR H2953) |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2019-07-08 |