| NPI | 1225600935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 566323-01) |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy (Licence: NY 566323-01) |
| Enumeration Date | 2021-07-13 |
| Last Update Date | 2021-07-13 |