| NPI | 1235710351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Additional Taxonomies | 251E00000X Home Health |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2021-04-20 |