NPI | 1245931021 |
---|---|
Former Name | RUTHIE CONSUELA HARRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy (Licence: IL 20-0997Y13) |
Enumeration Date | 2023-03-17 |
Last Update Date | 2023-03-17 |