| NPI | 1972773992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: PR 887) |
| Additional Taxonomies | 246QM0706X Spec/Tech, Pathology, Medical Technologist (Licence: PR 2518) |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2008-03-11 |