| NPI | 1457569436 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 246QM0706X Spec/Tech, Pathology, Medical Technologist | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MN 100301) | 
| Enumeration Date | 2007-05-21 | 
| Last Update Date | 2025-09-11 |