| NPI | 1780391284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083T0002X Preventive Medicine Medical Toxicology (Licence: VA 43990-167-465-8163) |
| Additional Taxonomies | 247200000X Technician, Other |
| 202K00000X Phlebology (Licence: VA 43990-167-465-8163) | |
| Enumeration Date | 2022-11-03 |
| Last Update Date | 2024-01-12 |