| NPI | 1609231224 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician (Licence: TX 26D2106942)  | 
| Additional Taxonomies | 101Y00000X Counselor | 
| 174H00000X Health Educator | |
| 251K00000X Public Health or Welfare | |
| Enumeration Date | 2015-12-24 | 
| Last Update Date | 2023-12-21 |