| NPI | 1972380236 |
|---|---|
| Former Name | MIA LYNN PAKOOTAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246RM2200X Technician, Pathology, Medical Laboratory (Licence: WA PC61401184) |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2023-09-11 |