NPI | 1851790414 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: MI 190326120033) |
Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy (Licence: MI 190326120033) |
Enumeration Date | 2014-08-20 |
Last Update Date | 2014-08-20 |