| NPI | 1770137606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy (Licence: MI 8604001228) |
| Additional Taxonomies | 202K00000X Phlebology (Licence: MI 8604001228) |
| 251E00000X Home Health | |
| Enumeration Date | 2019-07-29 |
| Last Update Date | 2025-08-05 |