| NPI | 1316597875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 162776) |
| 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician (Licence: OH 36d2190656) | |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2021-02-26 |