| NPI | 1184876385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: IA 121416) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: MT 1009) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2008-10-21 |