NPI | 1225558125 |
---|---|
Former Name | NICHOLE K LANDRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: IN 01085067A) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IN 11019395A) |
Enumeration Date | 2017-06-21 |
Last Update Date | 2022-06-13 |