| NPI | 1043674195 |
|---|---|
| Former Name | KELLY LYNN MOONEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA A151114) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: CA A151114) |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2024-03-13 |