| NPI | 1962806828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: AL 16685) |
| Additional Taxonomies | 174400000X Specialist (Licence: AL 23379) |
| 174400000X Specialist (Licence: AL 22893) | |
| 174400000X Specialist (Licence: AL 24306) | |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2014-10-21 |