| NPI | 1972272805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CO COZ.0614549) |
| Additional Taxonomies | 174400000X Specialist (Licence: CO MT.0011566) |
| Enumeration Date | 2021-09-13 |
| Last Update Date | 2021-09-13 |