| NPI | 1982899019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: TX 3353) |
| Additional Taxonomies | 246Z00000X Specialist/Technologist, Other (Licence: TX 09-197) |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2009-06-02 |