| NPI | 1154963171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2472R0900X Technician, Other, Renal Dialysis |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy (Licence: NV CPTX7T5B3Y5) |
| 374U00000X Home Health Aide | |
| 246ZE0500X Specialist/Technologist, Other, EEG | |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2019-10-10 |