NPI | 1922267558 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174400000X Specialist (Licence: MS PT4324) |
Additional Taxonomies | 174400000X Specialist (Licence: FL PT19153) |
174400000X Specialist (Licence: LA PT047534) | |
Enumeration Date | 2008-06-09 |
Last Update Date | 2013-08-01 |