| NPI | 1528238268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: PR 80) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: PR 618) |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2008-03-10 |