| NPI | 1063215994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 172A00000X Driver |
| 246RM2200X Technician, Pathology, Medical Laboratory | |
| 246RP1900X Technician, Pathology, Phlebotomy | |
| 247000000X Technician, Health Information | |
| Enumeration Date | 2025-03-27 |
| Last Update Date | 2025-03-27 |