| NPI | 1548101546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy (Licence: CA 00059074) |
| Enumeration Date | 2026-04-03 |
| Last Update Date | 2026-04-03 |