| NPI | 1790951085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: PR 714) |
| Additional Taxonomies | 246QM0706X Spec/Tech, Pathology, Medical Technologist (Licence: PR 1920) |
| 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician | |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2008-05-14 |