| NPI | 1770536039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: PA MD435366) |
| Additional Taxonomies | 174400000X Specialist (Licence: NC 200400084) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2010-10-04 |