| NPI | 1154011641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NY 49710993) |
| Additional Taxonomies | 246RM2200X Technician, Pathology, Medical Laboratory (Licence: NY 49710993) |
| Enumeration Date | 2023-05-09 |
| Last Update Date | 2023-05-13 |