| NPI | 1336328657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: TX SA00401) |
| Additional Taxonomies | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: TX 107080) |
| 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: TX SA00401) | |
| Enumeration Date | 2007-11-02 |
| Last Update Date | 2016-05-24 |