| NPI | 1558967844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 246RM2200X Technician, Pathology, Medical Laboratory | |
| 261QR1100X Clinic/Center, Research | |
| Enumeration Date | 2020-12-10 |
| Last Update Date | 2020-12-10 |