| NPI | 1639358831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NV 0506182) |
| Additional Taxonomies | 174400000X Specialist (Licence: SC 660) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2019-04-23 |