NPI | 1326446790 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL TN 46704) |
Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: 239136) |
Enumeration Date | 2014-12-16 |
Last Update Date | 2014-12-16 |