| NPI | 1871714485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor (Licence: IL 160001860) |
| Additional Taxonomies | 171W00000X Contractor (Licence: IN 06003129A) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2007-07-08 |