| NPI | 1801089420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other Surgical Assistant (Licence: LA 151352) |
| Additional Taxonomies | 246X00000X Specialist/Technologist Cardiovascular |
| 246ZS0410X Specialist/Technologist, Other Surgical Technologist (Licence: LA 97658) | |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2019-03-19 |