| NPI | 1851350318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: IL 036071196) |
| Additional Taxonomies | 2085R0001X (Licence: OH 35053193Z) |
| 2085R0001X (Licence: ND PT20525) | |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2025-09-24 |