| NPI | 1700998135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: KS 04-21991) |
| Additional Taxonomies | 174400000X Specialist (Licence: MO R4H86) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2014-07-15 |