| NPI | 1821051426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TN MD29255) |
| Additional Taxonomies | 174400000X Specialist (Licence: TN 29255) |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2020-05-18 |