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 |