| NPI | 1730248303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: PR 347) |
| Additional Taxonomies | 246QM0706X Spec/Tech, Pathology, Medical Technologist |
| 246QM0706X Spec/Tech, Pathology, Medical Technologist (Licence: PR 975) | |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2009-02-23 |