| NPI | 1629963277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: VA 0136001061) |
| Additional Taxonomies | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: VA 0136001061) |
| Enumeration Date | 2025-06-12 |
| Last Update Date | 2025-07-10 |