| NPI | 1578789087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL OT9904) |
| Additional Taxonomies | 174400000X Specialist (Licence: GA OT003504) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2012-01-13 |