| NPI | 1972997401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL AS5050) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL AI173) |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2015-03-23 |