| NPI | 1538638507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other Surgical Assistant |
| Additional Taxonomies | 156FX1101X Technician/Technologist Ophthalmic Assistant |
| 211D00000X Assistant, Podiatric | |
| 246ZX2200X Specialist/Technologist, Other Orthopedic Assistant | |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2018-11-19 |