| NPI | 1568497709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist |
| Additional Taxonomies | 174400000X Specialist (Licence: IL 03173) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2010-02-08 |