| NPI | 1215705777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: SC we8bzqe1ek) |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy (Licence: SC N23108789) |
| 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician | |
| Enumeration Date | 2023-12-14 |
| Last Update Date | 2025-08-06 |