| NPI | 1639774417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246ZX2200X Specialist/Technologist, Other, Orthopedic Assistant (Licence: 20-0710) |
| Additional Taxonomies | 374700000X Technician |
| Enumeration Date | 2020-12-01 |
| Last Update Date | 2020-12-01 |