NPI | 1518559152 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician |
Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy (Licence: MD 65910015) |
Enumeration Date | 2021-02-05 |
Last Update Date | 2021-12-08 |