| NPI | 1699814533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: CA A72786) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: CA A72786) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2008-02-06 |