| NPI | 1871871038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: AK 961122) |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2015-01-21 |