| NPI | 1699569269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 247200000X Technician, Other |
| 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician | |
| Enumeration Date | 2025-04-08 |
| Last Update Date | 2025-05-25 |