| NPI | 1538916994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: TX 1065959) |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy (Licence: TX E3J3W8G4) |
| Enumeration Date | 2024-05-03 |
| Last Update Date | 2024-05-03 |