| NPI | 1205032752 |
|---|---|
| Former Name | MARIAH RUTH YOUNGKIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: CA A106594) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2017-11-28 |