| NPI | 1982153565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: MI AS820380700) |
| 246QL0900X Spec/Tech, Pathology, Laboratory Management | |
| 246RM2200X Technician, Pathology, Medical Laboratory | |
| 305S00000X Point of Service | |
| 174400000X Specialist | |
| 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician | |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2025-10-27 |