| NPI | 1306543103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246QM0706X Spec/Tech, Pathology, Medical Technologist |
| Additional Taxonomies | 156F00000X Technician/Technologist |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2023-02-13 |
| Last Update Date | 2023-02-13 |