| NPI | 1326441361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy |
| 246Z00000X Specialist/Technologist, Other | |
| Enumeration Date | 2014-10-05 |
| Last Update Date | 2014-10-05 |