| NPI | 1801354881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: OH 402257060320) |
| Additional Taxonomies | 246RP1900X Technician, Pathology Phlebotomy (Licence: OH L3N4J5W9) |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2020-10-16 |