| NPI | 1750108072 |
|---|---|
| Former Name | CHEYANNA CARLISLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: IN 184735) |
| Enumeration Date | 2024-09-26 |
| Last Update Date | 2024-11-05 |