| NPI | 1235815622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246Y00000X Spec/Tech, Health Info |
| Additional Taxonomies | 246RM2200X Technician, Pathology, Medical Laboratory |
| 246Z00000X Specialist/Technologist, Other | |
| Enumeration Date | 2023-06-22 |
| Last Update Date | 2023-06-22 |