| NPI | 1376228205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 976743) |
| Enumeration Date | 2023-06-19 |
| Last Update Date | 2023-06-19 |