NPI | 1326226713 |
---|---|
Former Name | BRANDE LYNN HARDSAW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: KY SA171) |
Enumeration Date | 2008-02-07 |
Last Update Date | 2018-11-13 |