NPI | 1083867717 |
---|---|
Former Name | DIANA LYNNE MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 246QM0706X Specialist/Technologist, Pathology Medical Technologist (Licence: IN MT-085904) |
Enumeration Date | 2008-10-26 |
Last Update Date | 2008-10-26 |