| NPI | 1962161844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374700000X Technician (Licence: CA 34957) |
| Additional Taxonomies | 374700000X Technician (Licence: TX 282368) |
| Enumeration Date | 2021-12-08 |
| Last Update Date | 2021-12-08 |