| NPI | 1811431364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207SG0203X Medical Genetics Clinical Molecular Genetics (Licence: NY NAKOG1) |
| Additional Taxonomies | 207SG0202X Medical Genetics Clinical Biochemical Genetics (Licence: NY NAKOG1) |
| 247ZC0005X Pathology Clinical Laboratory Director, Non-physician | |
| Enumeration Date | 2016-12-16 |
| Last Update Date | 2021-01-13 |