| NPI | 1033361712 |
|---|---|
| Former Name | TISHA GAYETTE FARRELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OH 34.008976) |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2022-11-29 |