| NPI | 1184221376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician (Licence: GA 11D2192193) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: GA 11D2192193) |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2020-10-01 |