| NPI | 1619074663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: AZ 0181) |
| Additional Taxonomies | 174400000X Specialist (Licence: AZ 1080) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2009-05-12 |