| NPI | 1205665221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy |
| 261Q00000X Clinic/Center | |
| 291U00000X Clinical Medical Laboratory | |
| 293D00000X Physiological Laboratory | |
| Enumeration Date | 2024-07-29 |
| Last Update Date | 2024-07-29 |