| NPI | 1649339052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: DC MD034791) |
| Additional Taxonomies | 174400000X Specialist (Licence: VA 0101233274) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2007-07-09 |