| NPI | 1497058671 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: VA 3533) | 
| Additional Taxonomies | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: VA 3533) | 
| Enumeration Date | 2010-12-10 | 
| Last Update Date | 2014-03-06 |