| NPI | 1922388941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246QM0706X Spec/Tech, Pathology, Medical Technologist (Licence: MT 410) |
| Additional Taxonomies | 247100000X Radiologic Technologist (Licence: MT LPT 1810) |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2012-04-19 |