| NPI | 1902035256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MD 873168) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: VA 0101044545) |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2009-07-08 |