| NPI | 1396469599 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician | 
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory | 
| Enumeration Date | 2022-09-30 | 
| Last Update Date | 2024-09-18 |