| NPI | 1619262649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: VA 3401) |
| Additional Taxonomies | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: TX 3401) |
| 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: VA 3401) | |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2014-02-19 |