| NPI | 1609115278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246R00000X Technician, Pathology |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy |
| 246YC3302X Spec/Tech, Health Info, Coding Specialist, Physician Office Based | |
| 291U00000X Clinical Medical Laboratory (Licence: MI 23D2302134) | |
| Enumeration Date | 2013-02-01 |
| Last Update Date | 2024-11-06 |