| NPI | 1679514772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: OK 15850) |
| Additional Taxonomies | 2085R0001X (Licence: KS 0419706) |
| 2085R0001X (Licence: MO R9E84) | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2016-11-28 |