| NPI | 1083828701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: WA ST00003548) |
| Additional Taxonomies | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: MI 90971) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2007-07-08 |