| NPI | 1043488430 |
|---|---|
| Other Name | NA NA NA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: TX SA00149) |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2009-03-14 |