| NPI | 1154256675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246RM2200X Technician, Pathology, Medical Laboratory (Licence: VA NPCN-17565-15013) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: VA NPCN-17565-15013) |
| Enumeration Date | 2026-06-16 |
| Last Update Date | 2026-06-16 |