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 |