| NPI | 1760226542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy (Licence: NC F6Y4M6Y3) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: NC 389534) |
| Enumeration Date | 2024-06-25 |
| Last Update Date | 2024-06-25 |