| NPI | 1790465094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246Z00000X Specialist/Technologist, Other (Licence: OR E-10234024) |
| Additional Taxonomies | 174400000X Specialist (Licence: OR E-10234024) |
| Enumeration Date | 2023-07-20 |
| Last Update Date | 2026-04-11 |