| NPI | 1114276482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: KY SA244) |
| Additional Taxonomies | 174400000X Specialist (Licence: KY sa244) |
| Enumeration Date | 2012-09-02 |
| Last Update Date | 2019-09-18 |