| 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 |