| NPI | 1760973325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172A00000X Driver (Licence: IL W300-6008-4709) |
| Additional Taxonomies | 156F00000X Technician/Technologist |
| 246Q00000X Spec/Tech, Pathology | |
| 374700000X Technician | |
| Enumeration Date | 2018-05-19 |
| Last Update Date | 2018-05-19 |