| NPI | 1760727259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: MO 104100000X) |
| Additional Taxonomies | 251V00000X Voluntary or Charitable (Licence: 251V00000X) |
| Enumeration Date | 2012-12-10 |
| Last Update Date | 2012-12-10 |