| NPI | 1598765893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: LA 017017) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA C42997) |
| 174400000X Specialist (Licence: NY 230122-1) | |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2007-07-08 |