| NPI | 1871163964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health |
| Additional Taxonomies | 246QM0706X Spec/Tech, Pathology, Medical Technologist |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2021-06-30 |