| NPI | 1033449681 |
|---|---|
| Former Name | ANDREA DAWN FELLERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: PA MD062401L) |
| Enumeration Date | 2010-01-04 |
| Last Update Date | 2010-01-04 |