| NPI | 1740487636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: WV 64539) |
| Additional Taxonomies | 246QM0706X Spec/Tech, Pathology, Medical Technologist (Licence: WV 31341) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2007-07-08 |