| NPI | 1275900029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 247200000X Technician, Other (Licence: LA W6R8Q5D7) |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy (Licence: LA Z3D8D5E5) |
| 2472E0500X Technician, Other, EEG (Licence: LA Y4X2G3P6) | |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2015-08-27 |