| NPI | 1730847104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist |
| Additional Taxonomies | 372500000X Chore Provider |
| Enumeration Date | 2021-12-02 |
| Last Update Date | 2021-12-02 |