| NPI | 1861715823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor (Licence: NH 3591M) |
| Additional Taxonomies | 171W00000X Contractor (Licence: WA MA60043680) |
| Enumeration Date | 2010-03-04 |
| Last Update Date | 2014-02-04 |