| NPI | 1194917112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 054002) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2008-07-30 |