| NPI | 1003392259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Additional Taxonomies | 246QL0900X Spec/Tech, Pathology, Laboratory Management |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2018-07-13 |