| NPI | 1811095771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: NC 96-01555) |
| Additional Taxonomies | 2085R0001X (Licence: VA 0101 230080) |
| 2085R0001X (Licence: GA 051907) | |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-03-23 |