| NPI | 1639352859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: UT 6353626-1205) |
| Additional Taxonomies | 174400000X Specialist (Licence: UT 6353626-8905) |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2010-07-13 |