NPI | 1629285689 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174400000X Specialist (Licence: NATABOC 08012030) |
Additional Taxonomies | 174400000X Specialist (Licence: MA AH1421-AT) |
Enumeration Date | 2007-05-17 |
Last Update Date | 2008-08-21 |