| NPI | 1447239124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: OH 35079129) |
| Additional Taxonomies | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: OH 35-079129E) |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2011-12-15 |