| NPI | 1841457280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: WY PT-1278) |
| Additional Taxonomies | 174400000X Specialist (Licence: ID PT1624) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2009-10-01 |