| NPI | 1528316494 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: AZ 254511)  | 
| Additional Taxonomies | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant | 
| Enumeration Date | 2012-08-26 | 
| Last Update Date | 2023-09-29 |