| NPI | 1073241782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171400000X |
| Additional Taxonomies | 246RP1900X Technician, Pathology Phlebotomy |
| 251B00000X Case Management | |
| Enumeration Date | 2022-08-10 |
| Last Update Date | 2022-08-10 |