| NPI | 1770273112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy (Licence: GA GA-11412-75795) |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy (Licence: GA N23101917) |
| Enumeration Date | 2023-05-09 |
| Last Update Date | 2023-05-09 |