| NPI | 1134895790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy (Licence: TX 25-CPT126) |
| Additional Taxonomies | 246R00000X Technician, Pathology (Licence: TX 25-CPT126) |
| 246RM2200X Technician, Pathology, Medical Laboratory (Licence: TX 21-56670) | |
| Enumeration Date | 2021-08-23 |
| Last Update Date | 2025-02-09 |