| NPI | 1730266966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: OR MD174455) |
| Additional Taxonomies | 2085R0001X (Licence: CA G86931) |
| 2085R0001X (Licence: WA MD00037303) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2025-10-20 |