| NPI | 1558106294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: SC 165499) |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy (Licence: SC 45313) |
| Enumeration Date | 2024-06-25 |
| Last Update Date | 2024-06-25 |