| NPI | 1568194041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 242T00000X Perfusionist (Licence: NV PENDING) |
| Additional Taxonomies | 208600000X Surgery (Licence: NV PENDING) |
| Enumeration Date | 2022-06-24 |
| Last Update Date | 2022-06-24 |