| NPI | 1366879041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy (Licence: CA CPT59788) |
| Additional Taxonomies | 246W00000X Technician, Cardiology |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2013-09-26 |