| NPI | 1902496599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 156F00000X Technician/Technologist (Licence: MD NA) |
| Additional Taxonomies | 156F00000X Technician/Technologist |
| Enumeration Date | 2021-01-19 |
| Last Update Date | 2021-01-19 |