| NPI | 1295887453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246RM2200X Technician, Pathology, Medical Laboratory (Licence: FL TN37061) |
| Additional Taxonomies | 246RM2200X Technician, Pathology, Medical Laboratory (Licence: 03900059) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2007-07-08 |