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