| NPI | 1093703407 |
|---|---|
| Former Name | CAROLYN FAWN GREELEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: VA 0101055533) |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2007-11-12 |