NPI | 1164190757 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 172V00000X Community Health Worker |
Additional Taxonomies | 246QB0000X Spec/Tech, Pathology, Blood Banking |
Enumeration Date | 2021-08-31 |
Last Update Date | 2021-08-31 |