| NPI | 1932309044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: IN 94283) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: IN 27041937A) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2022-05-13 |