| NPI | 1871064808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Additional Taxonomies | 174400000X Specialist |
| 246QL0900X Spec/Tech, Pathology, Laboratory Management | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2018-12-17 |