| NPI | 1629715180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: SC 42D2254381) |
| Enumeration Date | 2022-05-17 |
| Last Update Date | 2024-08-19 |