| NPI | 1881803625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor (Licence: LA Level 2 439834) |
| Additional Taxonomies | 171W00000X Contractor (Licence: LA 4349) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2007-07-08 |