| NPI | 1922115682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: FL ME168704) |
| Additional Taxonomies | 2085R0001X (Licence: NC 2010-01163) |
| 2085R0001X (Licence: OH 35.099632) | |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2024-06-19 |