| NPI | 1497520068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy (Licence: PA 250144) |
| Additional Taxonomies | 246R00000X Technician, Pathology (Licence: PA 250144) |
| Enumeration Date | 2023-11-23 |
| Last Update Date | 2023-11-23 |