NPI | 1417408782 |
---|---|
Former Name | CRISTAL ELLIOT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: TX SA00678) |
Enumeration Date | 2016-10-20 |
Last Update Date | 2024-06-30 |