NPI | 1003620915 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
Additional Taxonomies | 104100000X Social Worker (Licence: FL ISW14859) |
291U00000X Clinical Medical Laboratory | |
Enumeration Date | 2025-02-03 |
Last Update Date | 2025-07-10 |