| NPI | 1750638342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246ZI1000X Specialist/Technologist, Other Illustration, Medical (Licence: PR 1668796) |
| Additional Taxonomies | 246Z00000X Specialist/Technologist, Other (Licence: PR 1668796) |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2012-12-06 |