NPI | 1740719491 |
---|---|
Former Name | LINDSAY CAVANAUGH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: KY 4681) |
Enumeration Date | 2017-06-07 |
Last Update Date | 2017-06-07 |