| NPI | 1114343605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other Surgical Technologist (Licence: NY 13-0618) |
| Additional Taxonomies | 246Z00000X Specialist/Technologist, Other (Licence: NE 2000001376) |
| Enumeration Date | 2014-03-09 |
| Last Update Date | 2014-03-09 |