| NPI | 1790633220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy (Licence: TN N24102120) |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy (Licence: KY N24102120) |
| 246RP1900X Technician, Pathology, Phlebotomy (Licence: GA GA-13589-99701) | |
| Enumeration Date | 2026-03-19 |
| Last Update Date | 2026-08-10 |