| NPI | 1871973289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: CSANO:4109) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: ZZ REGNO:2273842) |
| 208D00000X General Practice (Licence: ZZ REG.NO:2273842) | |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2015-11-06 |