| NPI | 1598442550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: OH 402053880318) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: OH G3G3C2D9) |
| Enumeration Date | 2023-06-30 |
| Last Update Date | 2023-06-30 |