| NPI | 1629390604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL MA11062) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ct11062) |
| Enumeration Date | 2010-02-18 |
| Last Update Date | 2010-02-18 |