| NPI | 1023754603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician |
| Additional Taxonomies | 376K00000X Nurse's Aide |
| 246RP1900X Technician, Pathology, Phlebotomy | |
| Enumeration Date | 2022-05-07 |
| Last Update Date | 2022-05-07 |