| NPI | 1457636904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246QM0706X Spec/Tech, Pathology, Medical Technologist (Licence: PR 1111) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: PR 676) |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2011-10-19 |