| NPI | 1265876924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: TX 154638) |
| Additional Taxonomies | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: TX SA00668) |
| 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: 143216) | |
| 164X00000X Licensed Vocational Nurse (Licence: TX 310225) | |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2020-11-23 |