| NPI | 1508687336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist |
| Additional Taxonomies | 156F00000X Technician/Technologist |
| Enumeration Date | 2024-10-23 |
| Last Update Date | 2024-10-23 |