| NPI | 1699155150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0600X (Licence: MD D0098690) |
| Additional Taxonomies | 2084N0600X (Licence: NY 313369-01) |
| 2084N0600X (Licence: TN 64039) | |
| 2084N0600X (Licence: IL 36.159940) | |
| 2084N0600X (Licence: TX T3612) | |
| 2084N0600X (Licence: CA A162015) | |
| Enumeration Date | 2015-05-31 |
| Last Update Date | 2024-04-24 |