| NPI | 1760882047 |
|---|---|
| Former Name | ELAINE CENTINA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: DC SA0141) |
| Enumeration Date | 2014-08-24 |
| Last Update Date | 2018-12-13 |