| 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 |