| NPI | 1922860089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: TN 41025) |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy (Licence: MS 062722-PWECW20324) |
| 247200000X Technician, Other (Licence: MS 062722-PW) | |
| Enumeration Date | 2024-01-24 |
| Last Update Date | 2024-01-24 |