| 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 |