| NPI | 1124171236 |
|---|---|
| Other Name | TL SURGICAL ASSISTANT PLLC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: OR 06-162) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2025-10-14 |