NPI | 1336844224 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy (Licence: PA 604322) |
Additional Taxonomies | 202K00000X (Licence: PA 604322) |
Enumeration Date | 2023-03-31 |
Last Update Date | 2023-03-31 |