| NPI | 1730727371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: IN 15-230) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-12-13 |
| Last Update Date | 2022-08-29 |