NPI | 1518722206 |
---|---|
Former Name | COLLEEN JO HAAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other Surgical Technologist (Licence: AK 100256574) |
Enumeration Date | 2024-02-21 |
Last Update Date | 2024-02-21 |