| NPI | 1992532303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical |
| Additional Taxonomies | 376K00000X Nurse's Aide |
| 246RP1900X Technician, Pathology Phlebotomy | |
| Enumeration Date | 2024-09-18 |
| Last Update Date | 2024-09-18 |