| 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 |