| NPI | 1851417182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: MD 15692) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA 14264) |
| 174400000X Specialist (Licence: DC PT871218) | |
| 174400000X Specialist (Licence: CA PT14264) | |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-11-21 |