| NPI | 1902894678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: SC 18399) |
| Additional Taxonomies | 174400000X Specialist (Licence: GA 044892) |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2024-02-15 |