| NPI | 1760763536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: TX SA00534) |
| Additional Taxonomies | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: TX 11-202) |
| 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: TX 11-202) | |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2022-01-25 |