NPI | 1659083368 |
---|---|
Professional Name | N/A N/A |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician (Licence: GA 11D2281516) |
Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy (Licence: GA H6R4N8X4) |
Enumeration Date | 2022-12-14 |
Last Update Date | 2023-06-15 |