| NPI | 1376862219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy (Licence: MD 23-0156) |
| Additional Taxonomies | 1744P3200X Specialist, Prosthetics Case Management (Licence: MD 3929982) |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2024-03-09 |