| NPI | 1669894598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246RM2200X Technician, Pathology, Medical Laboratory (Licence: TX 132883) |
| Additional Taxonomies | 246RM2200X Technician, Pathology, Medical Laboratory (Licence: TX 5062) |
| 246RM2200X Technician, Pathology, Medical Laboratory (Licence: FL TN44801) | |
| Enumeration Date | 2014-01-12 |
| Last Update Date | 2014-01-12 |