| NPI | 1801593256 |
|---|---|
| Former Name | MACKENZIE NANNENGA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: IN 177011) |
| Enumeration Date | 2023-02-15 |
| Last Update Date | 2023-02-15 |