| NPI | 1912020348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: CO SA.0001018) |
| Additional Taxonomies | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: CO 0001018) |
| 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: CO 82439) | |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-05-19 |