| NPI | 1578315487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy (Licence: VA y6x9y6z9) |
| Additional Taxonomies | 374700000X Technician (Licence: VA Y6X9Y6Z9) |
| Enumeration Date | 2024-04-03 |
| Last Update Date | 2024-04-05 |