NPI | 1922092204 |
---|---|
Former Name | CLAUDIA PAULETTE SHRULL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: KY SA064) |
Enumeration Date | 2005-09-01 |
Last Update Date | 2009-02-25 |