| NPI | 1922266550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor (Licence: FL 693506196) |
| Additional Taxonomies | 171W00000X Contractor (Licence: FL 693506198) |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2008-06-04 |