| NPI | 1306549191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor |
| Additional Taxonomies | 235500000X Specialist/Technologist (Licence: CO ST.0006487) |
| 225500000X Specialist/Technologist (Licence: WA ST61333689) | |
| 235500000X Specialist/Technologist (Licence: 432614) | |
| 246Z00000X Specialist/Technologist, Other (Licence: 432614) | |
| 246ZS0410X Specialist/Technologist, Other, Surgical Technologist | |
| 305S00000X Point of Service | |
| 374700000X Technician | |
| Enumeration Date | 2023-03-22 |
| Last Update Date | 2023-03-22 |