| NPI | 1891025482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: ID PT-00000493) |
| Additional Taxonomies | 174400000X Specialist (Licence: WA PT-80) |
| Enumeration Date | 2010-01-05 |
| Last Update Date | 2010-01-05 |