| NPI | 1023529161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9466371) |
| 376J00000X Homemaker (Licence: FL 23838) | |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2021-09-28 |