| NPI | 1619663929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: TX 315738) |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2023-04-11 |
| Last Update Date | 2023-04-12 |