| NPI | 1003370404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246Z00000X Specialist/Technologist, Other |
| Additional Taxonomies | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: TX 187816) |
| 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: TX SA00847) | |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2025-12-05 |