| NPI | 1780004317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy (Licence: IL D4B3A5A9) |
| Additional Taxonomies | 247200000X Technician, Other (Licence: IL B8G9N5W2) |
| 247200000X Technician, Other (Licence: IL Z6D2E9R4) | |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2014-04-22 |