| NPI | 1831597210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: OR 284741) |
| Additional Taxonomies | 174400000X Specialist (Licence: AZ 4835) |
| Enumeration Date | 2014-12-16 |
| Last Update Date | 2014-12-16 |