| NPI | 1710577564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R165709) |
| Enumeration Date | 2021-01-25 |
| Last Update Date | 2021-01-25 |