| 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 |