| NPI | 1265810287 |
|---|---|
| Former Name | REGINA MARIE KOLKOVICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: NE 2360) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2021-06-30 |