| NPI | 1073755161 |
|---|---|
| Other Name | ANDREA BLACKLOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA A94438) |
| Enumeration Date | 2009-04-03 |
| Last Update Date | 2009-04-03 |