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 |