| NPI | 1831364843 |
|---|---|
| Former Name | TAMARA KALOUSEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: HI 17167) |
| Additional Taxonomies | 174400000X Specialist (Licence: MA 233634) |
| 174400000X Specialist (Licence: MA 245719) | |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2015-02-23 |