NPI | 1992122550 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171W00000X Contractor (Licence: TX 100578) |
Additional Taxonomies | 171W00000X Contractor (Licence: MS OT335) |
Enumeration Date | 2014-03-20 |
Last Update Date | 2014-03-20 |