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 |