| NPI | 1780773606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NC 2007-01868) |
| Additional Taxonomies | 174400000X Specialist (Licence: MD D38500) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2008-02-26 |