| NPI | 1366593899 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: ME C06-1206A) | 
| Additional Taxonomies | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: C06-1206A) | 
| Enumeration Date | 2007-01-12 | 
| Last Update Date | 2007-07-08 |