| NPI | 1740352210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: WA MA00012558) |
| Additional Taxonomies | 174400000X Specialist (Licence: OR 4877) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2007-07-08 |