| NPI | 1528825668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy (Licence: TX N24104580) |
| Additional Taxonomies | 202K00000X (Licence: TX N24104580) |
| 251F00000X Home Infusion (Licence: TX 41B020231215) | |
| 291U00000X Clinical Medical Laboratory (Licence: TX 45D2301278) | |
| Enumeration Date | 2024-03-05 |
| Last Update Date | 2024-06-20 |