| NPI | 1518685288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246RH0600X Technician, Pathology, Histology (Licence: VA 25823370) |
| Additional Taxonomies | 246QH0600X Spec/Tech, Pathology, Histology (Licence: VA 25823370) |
| Enumeration Date | 2022-08-18 |
| Last Update Date | 2022-08-18 |