| NPI | 1255082186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy (Licence: OH P2W655J3) |
| Enumeration Date | 2022-01-12 |
| Last Update Date | 2023-01-30 |