| NPI | 1295257319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Additional Taxonomies | 156F00000X Technician/Technologist |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2022-01-12 |