| NPI | 1518182914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: TX 056191-CERTSURGTECH) |
| Additional Taxonomies | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: 056191 - SUR TECH #) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2022-02-10 |