| NPI | 1548437221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: PR 542) |
| Additional Taxonomies | 246QM0706X Spec/Tech, Pathology, Medical Technologist (Licence: PR 1550) |
| 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician (Licence: PR 1550) | |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2008-05-13 |