| NPI | 1003588732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: OH 1003588732) |
| Additional Taxonomies | 156F00000X Technician/Technologist (Licence: OH 1003588732) |
| 225500000X Specialist/Technologist (Licence: OH 1003588732) | |
| 156F00000X Technician/Technologist (Licence: NY 6009038) | |
| Enumeration Date | 2021-09-30 |
| Last Update Date | 2022-02-22 |