| NPI | 1669252748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 202K00000X (Licence: MS 20-002PI19) |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy (Licence: MS 20-002P19) |
| Enumeration Date | 2023-10-05 |
| Last Update Date | 2023-10-27 |