| NPI | 1649583766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246RM2200X Technician, Pathology, Medical Laboratory (Licence: CA 44337941) |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy (Licence: CA cpt15918) |
| Enumeration Date | 2010-07-18 |
| Last Update Date | 2010-07-18 |