NPI | 1275522005 |
---|---|
Former Name | CARRIE LYNN SPERKA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
Additional Taxonomies | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: WI 93552) |
Enumeration Date | 2005-10-14 |
Last Update Date | 2016-07-21 |