| NPI | 1790403574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: FL 212562) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL 212562) |
| Enumeration Date | 2022-08-18 |
| Last Update Date | 2025-11-06 |