NPI | 1003236753 |
---|---|
Former Name | MARY KATHERINE ALLEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IL 036151896) |
Enumeration Date | 2014-04-21 |
Last Update Date | 2025-08-12 |