| NPI | 1679887020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: WA B60326929) |
| Additional Taxonomies | 174400000X Specialist (Licence: OR 17325) |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2014-02-20 |