| NPI | 1609120567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246QH0000X Spec/Tech, Pathology, Hematology |
| Additional Taxonomies | 246Z00000X Specialist/Technologist, Other |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2012-10-30 |