| NPI | 1114570991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy (Licence: VA 2839578) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0734002385) |
| 174H00000X Health Educator | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2019-07-19 |
| Last Update Date | 2019-11-15 |