| NPI | 1093518219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: FL 10D2320955) |
| Enumeration Date | 2025-03-31 |
| Last Update Date | 2026-03-02 |