| NPI | 1154682516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: FL 2585922) |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy (Licence: FL 2511-1402) |
| Enumeration Date | 2012-06-01 |
| Last Update Date | 2012-06-01 |