| NPI | 1033499736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 308356-1) |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy (Licence: NY 1211-5739) |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2019-07-02 |