| NPI | 1639813918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 242T00000X Perfusionist (Licence: NC 100000117) |
| Additional Taxonomies | 242T00000X Perfusionist (Licence: MO 2006034698) |
| 242T00000X Perfusionist (Licence: NJ 25M10010700) | |
| 242T00000X Perfusionist (Licence: CT 000067) | |
| 242T00000X Perfusionist (Licence: GA 178) | |
| 242T00000X Perfusionist (Licence: NY 000350) | |
| 242T00000X Perfusionist (Licence: TX 0000123) | |
| 242T00000X Perfusionist | |
| Enumeration Date | 2022-04-23 |
| Last Update Date | 2022-04-23 |