| NPI | 1861828048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy (Licence: NV 28205-AL-4) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: NV 28205AL-3) |
| 291U00000X Clinical Medical Laboratory (Licence: NV 28205AL-1) | |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2024-04-29 |