NPI | 1528825668 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX 45D2301278) |
Additional Taxonomies | 202K00000X Phlebology (Licence: TX 964320231213) |
246RP1900X Technician, Pathology, Phlebotomy (Licence: TX 964320231213) | |
251F00000X Home Infusion (Licence: TX 41B020231215) | |
Enumeration Date | 2024-03-05 |
Last Update Date | 2024-04-15 |