NPI | 1679821417 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: 211278) |
Additional Taxonomies | 246RM2200X Technician, Pathology Medical Laboratory (Licence: LA CLP.201475-GEN) |
291U00000X Clinical Medical Laboratory (Licence: MLT 43092) | |
Enumeration Date | 2012-08-28 |
Last Update Date | 2012-11-14 |