| NPI | 1710911631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: GA 07-0825) |
| Additional Taxonomies | 246Z00000X Specialist/Technologist, Other (Licence: GA AT001300) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2010-01-18 |