| NPI | 1831712561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy (Licence: TX 2013720121) |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy (Licence: TX 20130721021) |
| Enumeration Date | 2020-05-28 |
| Last Update Date | 2020-05-28 |