| NPI | 1003546037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246RM2200X Technician, Pathology, Medical Laboratory (Licence: MD F9C8J3D9) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: MD L2T6A4Z2) | |
| Enumeration Date | 2022-06-13 |
| Last Update Date | 2024-08-21 |