| NPI | 1023629771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy (Licence: OH 20-1020R20) |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy (Licence: OH OH17366E405) |
| Enumeration Date | 2020-08-14 |
| Last Update Date | 2020-09-09 |