NPI | 1942462122 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171W00000X Contractor (Licence: KY R2270) |
Additional Taxonomies | 171W00000X Contractor (Licence: KY KY-R2270) |
Enumeration Date | 2008-06-27 |
Last Update Date | 2008-06-27 |