| NPI | 1578771556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL MA35774) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL MM15363) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-04-02 |