| NPI | 1306831318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: PR 1095) |
| Additional Taxonomies | 246Z00000X Specialist/Technologist, Other (Licence: PR 1095) |
| 246RM2200X Technician, Pathology, Medical Laboratory (Licence: PR 1095) | |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2013-11-14 |