| NPI | 1033053095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy (Licence: CA CPT-02343582) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 21340-20) |
| Enumeration Date | 2026-04-17 |
| Last Update Date | 2026-04-17 |