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 |