| NPI | 1780494716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 246QH0600X Spec/Tech, Pathology, Histology (Licence: GA 26708) |
| 246RM2200X Technician, Pathology, Medical Laboratory | |
| 202K00000X (Licence: GA GA-13624-109450) | |
| Enumeration Date | 2025-01-11 |
| Last Update Date | 2025-01-11 |