| NPI | 1235110883 |
|---|---|
| Former Name | MARY KELLY POWERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine (Licence: AL 16954) |
| Additional Taxonomies | 207ZC0006X Pathology Clinical Pathology (Licence: AL 16954) |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2015-05-12 |