| NPI | 1770209801 |
|---|---|
| Former Name | CHANTELLE HOMERIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: IL 238000759) |
| Enumeration Date | 2022-10-19 |
| Last Update Date | 2022-10-19 |