| NPI | 1750924874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: TX 171852) |
| Additional Taxonomies | 156F00000X Technician/Technologist (Licence: TX 171852) |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2021-07-01 |