| NPI | 1255879375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy (Licence: GA X3P5j6E2) |
| Additional Taxonomies | 247200000X Technician, Other (Licence: GA X3P5j6E2) |
| 376K00000X Nurse's Aide (Licence: GA CN0030015656) | |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2017-02-09 |