| NPI | 1336844224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy (Licence: PA 604322) |
| Additional Taxonomies | 202K00000X Phlebology (Licence: PA 604322) |
| Enumeration Date | 2023-03-31 |
| Last Update Date | 2023-03-31 |