| NPI | 1952406852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: VA 0101246217) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A68279) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2010-02-26 |