| NPI | 1811425069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 247200000X Technician, Other (Licence: FL 20160205) |
| Additional Taxonomies | 247200000X Technician, Other (Licence: 20160205) |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2017-06-01 |