| NPI | 1588913966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor (Licence: MT 600) |
| Additional Taxonomies | 171W00000X Contractor (Licence: MT 225700000x) |
| Enumeration Date | 2012-08-31 |
| Last Update Date | 2012-08-31 |