| NPI | 1124166467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: TX SA00526) |
| Additional Taxonomies | 242T00000X Perfusionist (Licence: TX FPF00000207) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2019-08-19 |