| NPI | 1013293349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: TX 3697) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX 2697) |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2015-05-03 |