| NPI | 1265864250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: SA00631) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2024-06-25 |