| NPI | 1114699220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NC 34d2236830) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 214224) |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2021-10-04 |