| NPI | 1396441846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 247200000X Technician, Other (Licence: OH 22-0240) |
| Additional Taxonomies | 247200000X Technician, Other (Licence: OH OH14829E602) |
| 291U00000X Clinical Medical Laboratory (Licence: OH 36D2246958) | |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2024-04-11 |