| NPI | 1346019858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy |
| 171W00000X Contractor | |
| 253Z00000X In Home Supportive Care | |
| 305S00000X Point of Service | |
| 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier | |
| Enumeration Date | 2023-12-26 |
| Last Update Date | 2024-01-10 |