| NPI | 1114717352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 247200000X Technician, Other |
| Additional Taxonomies | 174H00000X Health Educator |
| 291U00000X Clinical Medical Laboratory | |
| 374U00000X Home Health Aide | |
| 246RP1900X Technician, Pathology, Phlebotomy | |
| Enumeration Date | 2025-05-10 |
| Last Update Date | 2025-05-10 |