| NPI | 1558887596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: PR 7368) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: PR 1366) |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2024-08-12 |