| NPI | 1750424859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: KY SA029) |
| Additional Taxonomies | 174400000X Specialist (Licence: KY SA029) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2016-03-03 |