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 |