| NPI | 1396964821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246QL0900X Spec/Tech, Pathology, Laboratory Management |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: MT 268) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2007-07-08 |