| NPI | 1205224821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: FL 223064) |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy (Licence: FL 698775453) |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2015-01-05 |