| NPI | 1619418795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: 26-226) |
| Additional Taxonomies | 405300000X Prevention Professional (Licence: SC 2000017641) |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2026-06-17 |