| NPI | 1568277788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician (Licence: FL 10D2314950) |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy (Licence: FL 25R-CPT251) |
| Enumeration Date | 2025-02-13 |
| Last Update Date | 2025-02-13 |