| NPI | 1780494716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246QH0600X Specialist/Technologist, Pathology Histology (Licence: GA 26708) |
| Additional Taxonomies | 246RM2200X Technician, Pathology Medical Laboratory |
| 246RP1900X Technician, Pathology Phlebotomy | |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2025-01-11 |
| Last Update Date | 2025-11-08 |