| NPI | 1205326055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL 0-02-0571) |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy (Licence: FL 2017016005) |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2018-05-17 |