| NPI | 1275217879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: MS 10089142) |
| Additional Taxonomies | 246RP1900X Technician, Pathology Phlebotomy (Licence: MS 1201052) |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2024-09-14 |