| NPI | 1609863521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246QM0706X Spec/Tech, Pathology, Medical Technologist |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: PR 1031) |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2017-12-18 |