| NPI | 1649272956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME0073341) |
| Additional Taxonomies | 174400000X Specialist (Licence: GA 043649) |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2010-01-05 |