| NPI | 1770919185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: WA MA60376625) |
| Additional Taxonomies | 174400000X Specialist (Licence: HI 11397) |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2013-09-17 |