| NPI | 1821158189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: KS 0422498) |
| Additional Taxonomies | 2085R0001X (Licence: NJ MA0381033) |
| 2085R0001X (Licence: VA 0101046440) | |
| 2085R0001X (Licence: CT 031422) | |
| 2085R0001X (Licence: NY 145096) | |
| 2085R0001X (Licence: MD D0041491) | |
| 2085R0001X (Licence: KS 22498) | |
| Enumeration Date | 2006-12-09 |
| Last Update Date | 2013-07-03 |