| NPI | 1932356987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: PR 764) |
| Additional Taxonomies | 246RM2200X Technician, Pathology, Medical Laboratory (Licence: PR 3304) |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2014-02-03 |