| NPI | 1972870004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 242T00000X Perfusionist (Licence: OK 79) |
| Additional Taxonomies | 242T00000X Perfusionist (Licence: TX PF1104) |
| Enumeration Date | 2011-11-17 |
| Last Update Date | 2011-11-17 |