NPI | 1225475890 |
---|---|
Former Name | OLIVIA LYN HALT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OR MD189540) |
Enumeration Date | 2013-05-22 |
Last Update Date | 2018-09-10 |