| NPI | 1932157146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: DC MD18813) |
| Additional Taxonomies | 174400000X Specialist (Licence: MD D0040982) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2008-06-20 |