| NPI | 1871803759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 247200000X (Licence: OH 375397980296) |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy (Licence: OH 261026090011) |
| 2472R0900X (Licence: OH 209090) | |
| Enumeration Date | 2010-10-13 |
| Last Update Date | 2010-10-26 |