| NPI | 1821794660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 156F00000X Technician/Technologist (Licence: MI 900-000-430-255) |
| Additional Taxonomies | 156F00000X Technician/Technologist |
| Enumeration Date | 2023-02-02 |
| Last Update Date | 2023-02-03 |