| NPI | 1477176378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246RP1900X Technician, Pathology Phlebotomy |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2021-04-26 |