| NPI | 1801642087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy (Licence: AL 3811-6669) |
| Additional Taxonomies | 261Q00000X (Licence: AL 3877-6669) |
| Enumeration Date | 2024-04-27 |
| Last Update Date | 2024-04-30 |