| NPI | 1700755055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician (Licence: NY GUXXY1) |
| Additional Taxonomies | 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician (Licence: FL DI57834) |
| 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician (Licence: NJ 25MS00026000) | |
| Enumeration Date | 2025-11-04 |
| Last Update Date | 2026-05-08 |