| 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 |