NPI | 1063660918 |
---|---|
Former Name | ANNA HARRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WA MD60347469) |
Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: MO 2019032554) |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MO 390200000X) | |
Enumeration Date | 2008-09-04 |
Last Update Date | 2022-04-20 |