| NPI | 1821534298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 163WP2201X Registered Nurse Ambulatory Care (Licence: MO 152662) |
| Enumeration Date | 2017-01-10 |
| Last Update Date | 2021-11-17 |