| NPI | 1275204620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy |
| 247200000X Technician, Other | |
| Enumeration Date | 2021-09-24 |
| Last Update Date | 2021-09-24 |