| NPI | 1699591115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy (Licence: GA 20-1310Y09) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: GA CN0000018284) |
| Enumeration Date | 2024-11-30 |
| Last Update Date | 2024-11-30 |