| NPI | 1639281942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: AZ 53407) |
| Additional Taxonomies | 2085R0001X (Licence: HI MD - 11138) |
| 2085R0001X (Licence: CA A50996) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2025-07-28 |