| NPI | 1881199511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: FL 18-375) |
| Additional Taxonomies | 176B00000X Midwife (Licence: FL MW348) |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2021-03-04 |