| NPI | 1639748957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246QB0000X Spec/Tech, Pathology, Blood Banking (Licence: WA 603) |
| Additional Taxonomies | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: WA 60346851) |
| 246Q00000X Spec/Tech, Pathology (Licence: WA 60346851) | |
| 246QB0000X Spec/Tech, Pathology, Blood Banking (Licence: WA 60346851) | |
| Enumeration Date | 2021-06-21 |
| Last Update Date | 2021-06-21 |