| NPI | 1700090701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: TX SA00191) |
| Additional Taxonomies | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: TX 067880LCCST) |
| 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: TX SA00191) | |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2014-02-18 |