| NPI | 1063576429 |
|---|---|
| Former Name | ELIZABETH MAE FOWLERSMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME151404) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WI 7067820) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2023-03-22 |