| NPI | 1679226203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician (Licence: GA 11D2240079) |
| Additional Taxonomies | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2022-02-02 |
| Last Update Date | 2023-02-09 |