| NPI | 1639202153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: MD M02332) |
| Additional Taxonomies | 174400000X Specialist (Licence: DE MT-0001630) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2007-07-08 |