| NPI | 1336985761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: TX 196020) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 1113871) |
| Enumeration Date | 2024-07-04 |
| Last Update Date | 2024-07-04 |