| NPI | 1356583660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: OR 108976) |
| 246RP1900X Technician, Pathology, Phlebotomy | |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2024-09-10 |