| NPI | 1952942948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 156F00000X Technician/Technologist |
| Additional Taxonomies | 156F00000X Technician/Technologist |
| 156F00000X Technician/Technologist (Licence: 156000x) | |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2019-10-01 |