| NPI | 1992141782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: SC 85137) |
| Additional Taxonomies | 2085R0001X (Licence: TN 57380) |
| 2085R0001X (Licence: MD D87997) | |
| 2085R0001X (Licence: DC MD047588) | |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2021-03-22 |