NPI | 1063269330 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 246R00000X Technician, Pathology (Licence: CA CPT-01009835) |
Additional Taxonomies | 246QL0900X Spec/Tech, Pathology, Laboratory Management (Licence: CA CPT-01009835) |
246RP1900X Technician, Pathology, Phlebotomy (Licence: CA CPT-01009835) | |
Enumeration Date | 2024-05-03 |
Last Update Date | 2024-05-03 |