| NPI | 1285388926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 202K00000X Phlebology (Licence: TX C5C5Q6E5) |
| Additional Taxonomies | 374700000X Technician (Licence: TX C5C5Q6E5) |
| Enumeration Date | 2022-02-11 |
| Last Update Date | 2022-02-11 |