| NPI | 1396221578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: KS 04-49618) |
| Additional Taxonomies | 246YC3301X Spec/Tech, Health Info, Coding Specialist, Hospital Based (Licence: NY 1093777492) |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2024-08-27 |