| NPI | 1245691302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy (Licence: 24-2795) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 544058) |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2025-07-22 |