NPI | 1295537819 |
---|---|
Former Name | RANDI-LERAY JUNE SOWDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: TX 206701) |
Enumeration Date | 2025-03-25 |
Last Update Date | 2025-03-25 |