| NPI | 1013251669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy (Licence: FL 22-0199) |
| Additional Taxonomies | 202C00000X Independent Medical Examiner (Licence: FL 12288) |
| 376K00000X Nurse's Aide (Licence: FL CNA262661) | |
| Enumeration Date | 2012-11-20 |
| Last Update Date | 2022-03-04 |