| NPI | 1912615048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 247ZC0005X Pathology Clinical Laboratory Director, Non-physician (Licence: NC 2398286) |
| Additional Taxonomies | 171W00000X Contractor |
| 305S00000X Point of Service | |
| Enumeration Date | 2022-11-08 |
| Last Update Date | 2022-11-18 |