| NPI | 1194999433 |
|---|---|
| Former Name | CAROLINE LEILANI GIETZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: GA 94289) |
| Additional Taxonomies | 207ND0900X Dermatology Dermatopathology (Licence: GA 94289) |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: TX M8399) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: CA A94224) | |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2023-01-04 |