| NPI | 1619904752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: ME PT2399) |
| Additional Taxonomies | 174400000X Specialist (Licence: ME MT39) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2007-07-08 |