| NPI | 1700561701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: CA 208252) |
| Additional Taxonomies | 246Z00000X Specialist/Technologist, Other (Licence: CA 208252) |
| Enumeration Date | 2023-06-16 |
| Last Update Date | 2023-06-16 |