| NPI | 1417188863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: VA 3288) |
| Additional Taxonomies | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist |
| 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: VA 3288) | |
| Enumeration Date | 2009-08-03 |
| Last Update Date | 2014-02-19 |