| NPI | 1275254252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy (Licence: TX H5X3X5H6) |
| Additional Taxonomies | 126900000X Dental Laboratory Technician (Licence: TX H5X3X5H6) |
| Enumeration Date | 2022-09-07 |
| Last Update Date | 2022-09-07 |