| NPI | 1275347304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Additional Taxonomies | 208600000X Surgery (Licence: VA 0136000425) |
| Enumeration Date | 2025-02-07 |
| Last Update Date | 2025-02-07 |