NPI | 1033789391 |
---|---|
Former Name | CALLIE EDWARDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MO 2021023152) |
Enumeration Date | 2021-06-29 |
Last Update Date | 2021-06-29 |