| NPI | 1740034941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology Phlebotomy (Licence: 24R-706) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: 24R-250) |
| Enumeration Date | 2024-04-15 |
| Last Update Date | 2024-05-13 |