| NPI | 1649218074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MD D0057121) |
| Additional Taxonomies | 174400000X Specialist (Licence: DC MD035358) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2010-08-30 |