| NPI | 1972120525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy (Licence: MS 279306) |
| Additional Taxonomies | 374700000X Technician (Licence: MS 279306) |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2023-04-12 |