| NPI | 1912297466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246QM0706X Specialist/Technologist, Pathology Medical Technologist (Licence: AL 107058) |
| Additional Taxonomies | 246QL0900X Specialist/Technologist, Pathology Laboratory Management (Licence: FL SU 31566) |
| Enumeration Date | 2011-04-17 |
| Last Update Date | 2011-04-17 |