NPI | 1578243291 |
---|---|
Former Name | JOSALYN BUCHANAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: VA 0136000336) |
Enumeration Date | 2023-07-18 |
Last Update Date | 2023-07-18 |