| NPI | 1790212322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 247200000X Technician, Other (Licence: AZ 299660) |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy (Licence: AZ 299660) |
| Enumeration Date | 2017-05-14 |
| Last Update Date | 2021-08-25 |