| NPI | 1619200409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 171W00000X Contractor |
| 246RM2200X Technician, Pathology, Medical Laboratory (Licence: TX 165268) | |
| Enumeration Date | 2009-09-10 |
| Last Update Date | 2009-09-11 |