| NPI | 1063022135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Additional Taxonomies | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2020-08-04 |