| NPI | 1235110297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: TX CSA# 2635) |
| Additional Taxonomies | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: TX CSA # 2635) |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2015-05-03 |