| NPI | 1356968440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: AZ 1568068609) |
| Additional Taxonomies | 156F00000X Technician/Technologist |
| 172A00000X Driver (Licence: WA WDL722Z7B13B) | |
| 246RP1900X Technician, Pathology, Phlebotomy (Licence: WA Pc61547365) | |
| 247200000X Technician, Other (Licence: AZ 032016) | |
| 251E00000X Home Health | |
| 251J00000X Nursing Care (Licence: AZ 03D2197602) | |
| 291U00000X Clinical Medical Laboratory (Licence: AZ 03D2197602) | |
| 374U00000X Home Health Aide | |
| 374U00000X Home Health Aide (Licence: AZ Experienced) | |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2025-06-24 |