| NPI | 1699029272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MI Certificate) |
| Additional Taxonomies | 174400000X Specialist (Licence: MI 225700000x) |
| Enumeration Date | 2012-11-03 |
| Last Update Date | 2012-11-03 |