| NPI | 1760653422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy (Licence: CA 508791) |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2008-03-20 |