| NPI | 1932419033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: VA 0019009159) |
| Additional Taxonomies | 174400000X Specialist (Licence: WV 2010-2738) |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2010-10-07 |