| NPI | 1922881036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246RP1900X Technician, Pathology Phlebotomy |
| Additional Taxonomies | 183700000X Pharmacy Technician |
| 2472E0500X Technician, Other EEG | |
| Enumeration Date | 2023-08-14 |
| Last Update Date | 2023-08-14 |