| NPI | 1366970394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| 171W00000X Contractor | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2017-06-03 |
| Last Update Date | 2024-05-28 |