| NPI | 1558858605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246RM2200X Technician, Pathology, Medical Laboratory (Licence: VA 04128886) |
| Additional Taxonomies | 235500000X Specialist/Technologist |
| 246RP1900X Technician, Pathology, Phlebotomy | |
| Enumeration Date | 2018-04-15 |
| Last Update Date | 2018-04-15 |