| NPI | 1164927489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy (Licence: TN J4E9Q6Z4) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2018-03-28 |