| NPI | 1700538360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2303967) |
| Enumeration Date | 2022-01-24 |
| Last Update Date | 2022-01-24 |