| NPI | 1720172208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: OH CS NS-01570) |
| Additional Taxonomies | 174400000X Specialist (Licence: OH RN 144820) |
| 174400000X Specialist (Licence: OH LPCC E-0000130) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-08 |