NPI | 1912067877 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: MN 104652) |
Additional Taxonomies | 174400000X Specialist (Licence: WI 211326) |
Enumeration Date | 2006-12-11 |
Last Update Date | 2015-04-10 |