| NPI | 1821415886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: WI 136388-30) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: WI 136388-30) |
| 163WX0800X Registered Nurse, Orthopedic (Licence: WI 136388-30) | |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2021-02-10 |