| NPI | 1144302373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 247ZC0005X Pathology Clinical Laboratory Director, Non-physician (Licence: PR 1605) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: PR 529) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2015-01-09 |