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 |