| NPI | 1619093838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: MS OT2488) |
| Additional Taxonomies | 174400000X Specialist (Licence: AR OTR1109) |
| 174400000X Specialist (Licence: TX 107497) | |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2010-08-13 |