| NPI | 1588315279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other Surgical Assistant (Licence: AZ 207263) |
| Additional Taxonomies | 208600000X Surgery (Licence: AZ 207263) |
| Enumeration Date | 2022-01-13 |
| Last Update Date | 2022-06-13 |