| NPI | 1295919694 |
|---|---|
| Former Name | KELLY MARIE HORNAMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: GA 000817) |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2016-08-31 |