| NPI | 1780114405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246Z00000X Specialist/Technologist, Other (Licence: VA 0135000097) |
| Additional Taxonomies | 246Z00000X Specialist/Technologist, Other (Licence: MD Z00016) |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2017-06-14 |