| NPI | 1235636150 |
|---|---|
| Former Name | HALEY MARIE CARLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: CO DR.0070197) |
| Enumeration Date | 2018-04-08 |
| Last Update Date | 2023-05-04 |