| 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 |