| NPI | 1457071110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology Phlebotomy (Licence: SC 60140) |
| Additional Taxonomies | 246RM2200X Technician, Pathology Medical Laboratory (Licence: SC 102007) |
| Enumeration Date | 2022-08-31 |
| Last Update Date | 2022-08-31 |