| NPI | 1285188458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MI 4301506123) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: MI 4301506123) |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2016-08-05 |
| Last Update Date | 2022-02-22 |