| NPI | 1639813983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy (Licence: MD 22-0829) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2022-04-22 |
| Last Update Date | 2022-04-22 |