| NPI | 1740753748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZX2200X Specialist/Technologist, Other, Orthopedic Assistant (Licence: WA CM60379774) |
| Additional Taxonomies | 246Z00000X Specialist/Technologist, Other (Licence: WA CM60379774) |
| Enumeration Date | 2019-01-02 |
| Last Update Date | 2019-01-02 |