| NPI | 1093042996 |
|---|---|
| Former Name | THERESA T. HOLLAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: MD D0053860) |
| Additional Taxonomies | 207ZD0900X Pathology Dermatopathology (Licence: MD D57860) |
| 207ZD0900X Pathology Dermatopathology (Licence: MD D0053860) | |
| 207ZD0900X Pathology Dermatopathology (Licence: VA 0101032608) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: VA 0101032608) | |
| Enumeration Date | 2009-11-13 |
| Last Update Date | 2016-12-23 |