| NPI | 1467261404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy (Licence: 3295-43378939) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: NV 29D2237648) |
| Enumeration Date | 2025-01-03 |
| Last Update Date | 2025-01-08 |