| NPI | 1679709992 |
|---|---|
| Former Name | KATHLEEN VERNICE JACO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246QL0900X Spec/Tech, Pathology, Laboratory Management (Licence: MO 108812) |
| Enumeration Date | 2009-06-01 |
| Last Update Date | 2009-06-01 |