| NPI | 1285888529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246QM0706X Specialist/Technologist, Pathology Medical Technologist (Licence: PR 3181) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: PR 289) |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2008-11-13 |