| NPI | 1124540406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172A00000X Driver |
| Additional Taxonomies | 246QM0706X Spec/Tech, Pathology, Medical Technologist |
| 126800000X Dental Assistant | |
| 246QM0900X Spec/Tech, Pathology, Microbiology | |
| 246RM2200X Technician, Pathology, Medical Laboratory | |
| 246RP1900X Technician, Pathology, Phlebotomy | |
| 347E00000X Transportation Broker | |
| Enumeration Date | 2017-07-08 |
| Last Update Date | 2022-07-21 |