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 |