| NPI | 1306591888 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 246RM2200X Technician, Pathology, Medical Laboratory | 
| Additional Taxonomies | 106S00000X Behavior Technician | 
| 247000000X Technician, Health Information | |
| 247200000X Technician, Other | |
| 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician | |
| Enumeration Date | 2022-02-14 | 
| Last Update Date | 2024-07-22 |