| NPI | 1306653753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy (Licence: WA PC61287625) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: NC61164097) |
| Enumeration Date | 2024-12-18 |
| Last Update Date | 2024-12-18 |