| NPI | 1699920934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor (Licence: NC 6602) |
| Additional Taxonomies | 171W00000X Contractor (Licence: NC E4604) |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2008-12-01 |