| NPI | 1386750099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: MN 875) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2008-05-01 |