| NPI | 1700758430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy (Licence: TX N24109804) |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant (Licence: TX R6G6E9A3) |
| Enumeration Date | 2025-09-22 |
| Last Update Date | 2025-09-22 |