| 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 |