| NPI | 1790725109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: PR 946) |
| Additional Taxonomies | 246Z00000X Specialist/Technologist, Other (Licence: PR 2354) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2018-08-02 |