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 |