| NPI | 1558153064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: SC 206759) |
| Additional Taxonomies | 208600000X Surgery (Licence: SC 206759) |
| Enumeration Date | 2025-05-20 |
| Last Update Date | 2025-05-23 |