| NPI | 1932978749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Additional Taxonomies | 305S00000X Point of Service |
| 246RM2200X Technician, Pathology, Medical Laboratory | |
| Enumeration Date | 2023-12-21 |
| Last Update Date | 2023-12-21 |