| NPI | 1902687718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QR1100X Clinic/Center, Research |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2023-10-09 |
| Last Update Date | 2023-10-09 |