| NPI | 1992831879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: VA 2305205439) |
| Additional Taxonomies | 174400000X Specialist (Licence: OH 1066) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2009-03-02 |