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 |