| NPI | 1508110305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy (Licence: TX 124866-746012215) |
| Additional Taxonomies | 171W00000X Contractor |
| 347C00000X Private Vehicle | |
| 372600000X Adult Companion | |
| 385H00000X Respite Care | |
| 261QP2400X Clinic/Center, Prison Health | |
| 253Z00000X In Home Supportive Care | |
| 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician | |
| Enumeration Date | 2012-10-31 |
| Last Update Date | 2026-04-12 |