| NPI | 1265079693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy (Licence: OH FL19464E308) |
| Additional Taxonomies | 246Z00000X Specialist/Technologist, Other (Licence: OH FL19464E308) |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2019-12-08 |