| NPI | 1710665088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy (Licence: GA 621103100002) |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy (Licence: NC 621103100002) |
| 247200000X Technician, Other (Licence: NC 621103100002) | |
| Enumeration Date | 2023-07-07 |
| Last Update Date | 2023-07-19 |