| NPI | 1760335301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2026-02-16 |
| Last Update Date | 2026-02-16 |