NPI | 1902037427 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA CLF00345153) |
Additional Taxonomies | 207SM0001X Medical Genetics Molecular Genetic Pathology (Licence: CA A112919) |
207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: CA A112919) | |
Enumeration Date | 2009-07-31 |
Last Update Date | 2022-04-25 |