| NPI | 1326510355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy (Licence: OH K6T5P7E2) |
| Enumeration Date | 2019-01-02 |
| Last Update Date | 2019-01-02 |