| NPI | 1710247036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: CA 20A13273) |
| Additional Taxonomies | 174400000X Specialist (Licence: NV SL0890) |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2021-11-23 |