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 |