| NPI | 1457872228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: TX SA000858) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301112992) |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2023-02-27 |