| NPI | 1912180068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: TX SA00358) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| 246ZX2200X Specialist/Technologist, Other, Orthopedic Assistant | |
| 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: 487388) | |
| 246Z00000X Specialist/Technologist, Other (Licence: 06-325) | |
| 2471C3402X Radiologic Technologist, Radiography (Licence: 12877) | |
| 247100000X Radiologic Technologist (Licence: 12877) | |
| 174400000X Specialist (Licence: TX SA00358) | |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2017-02-06 |