| NPI | 1497629133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy (Licence: FL 31710577) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: FL 31710577) |
| Enumeration Date | 2025-10-04 |
| Last Update Date | 2025-10-04 |