NPI | 1194100081 |
---|---|
Other Name | TEDDI LYNN HERNANDEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207ZN0500X Pathology, Neuropathology (Licence: RI LP05000) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NE TEP7574) |
Enumeration Date | 2015-07-21 |
Last Update Date | 2020-07-02 |