| NPI | 1093070880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246QM0706X Spec/Tech, Pathology, Medical Technologist (Licence: IL 143106) |
| Additional Taxonomies | 246RM2200X Technician, Pathology, Medical Laboratory (Licence: IL 143106) |
| 246RP1900X Technician, Pathology, Phlebotomy (Licence: IL 143106) | |
| 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician (Licence: IL 143106) | |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2012-07-09 |