| NPI | 1518195510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: IL 238.000272) |
| Additional Taxonomies | 174400000X Specialist (Licence: IL 98-139) |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2014-10-17 |