| NPI | 1174104269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Additional Taxonomies | 246RM2200X Technician, Pathology, Medical Laboratory |
| 247200000X Technician, Other | |
| 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician | |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2024-10-31 |