| NPI | 1528666518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: GA CN0000104698) |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy (Licence: GA 621209090009) |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2020-10-13 |