| NPI | 1609158344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: FL OTA8030) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL MA7761) |
| Enumeration Date | 2011-09-19 |
| Last Update Date | 2011-09-19 |