| NPI | 1487476875 |
|---|---|
| Former Name | AUTUMN WENDY MCCLOUD-BROWN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy (Licence: WI H7Z3Y8Z4) |
| Enumeration Date | 2024-10-28 |
| Last Update Date | 2024-10-28 |