| NPI | 1548802226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy (Licence: OH L5R6F7Y6) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: OH 401735840315) |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2019-12-28 |