| NPI | 1831340579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: OR EPT-T-109075) |
| Additional Taxonomies | 374700000X Technician (Licence: OR 079042335RN) |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2008-09-30 |