| NPI | 1922412485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: CO DR.0066372) |
| Additional Taxonomies | 2085R0001X (Licence: OR 193995) |
| 2085R0001X (Licence: OR MD193995) | |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2021-09-17 |