NPI | 1083838809 |
---|---|
Former Name | CHRISTINE RENEE BURGESS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: TX M7343) |
Additional Taxonomies | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: GA 054758) |
Enumeration Date | 2007-04-12 |
Last Update Date | 2022-02-02 |