| NPI | 1245911858 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy (Licence: IL 219767) | 
| Additional Taxonomies | 171400000X Health & Wellness Coach | 
| 171W00000X Contractor | |
| 251J00000X Nursing Care (Licence: IL 2393) | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2023-07-27 | 
| Last Update Date | 2024-04-28 |