| 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 |