| 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 |