| NPI | 1710047741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: 000000) |
| Additional Taxonomies | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: ID 52063) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2015-07-08 |