| NPI | 1831880244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: GA 11D2284596) |
| 246RP1900X Technician, Pathology, Phlebotomy (Licence: PTC-8786) | |
| Enumeration Date | 2023-05-17 |
| Last Update Date | 2024-10-29 |