| NPI | 1205326493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Additional Taxonomies | 246Y00000X Spec/Tech, Health Info |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2018-05-14 |