| NPI | 1881104495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy (Licence: FL L4Q7X4N3) |
| Additional Taxonomies | 171W00000X Contractor |
| 376J00000X Homemaker | |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2024-11-22 |