| NPI | 1902196074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246QM0706X Spec/Tech, Pathology, Medical Technologist |
| Additional Taxonomies | 246RM2200X Technician, Pathology, Medical Laboratory |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2023-04-11 |