| NPI | 1255534467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246QC1000X Spec/Tech, Pathology, Chemistry (Licence: PR 1601) |
| Additional Taxonomies | 246QM0706X Spec/Tech, Pathology, Medical Technologist (Licence: PR 1069) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2007-07-08 |