NPI | 1366648719 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other Surgical Technologist (Licence: GA 10-0825) |
Additional Taxonomies | 174400000X Specialist (Licence: IA 00300) |
174400000X Specialist (Licence: MN 1835) | |
Enumeration Date | 2007-06-22 |
Last Update Date | 2011-10-31 |