| NPI | 1306131016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: DE 39102) |
| Additional Taxonomies | 247ZC0005X Pathology Clinical Laboratory Director, Non-physician (Licence: DE 39102) |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2011-06-10 |