NPI | 1871177527 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy (Licence: MI r2l6g7j3) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MI 4703120460) |
Enumeration Date | 2021-05-10 |
Last Update Date | 2021-12-31 |