| NPI | 1003449679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 156F00000X Technician/Technologist (Licence: LA 306723) |
| Additional Taxonomies | 156F00000X Technician/Technologist (Licence: MT 11278) |
| 156F00000X Technician/Technologist (Licence: FL 51873) | |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2020-02-21 |