NPI | 1316204464 |
---|---|
Former Name | ASHLEY GULLETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WA 60269201) |
Enumeration Date | 2012-04-13 |
Last Update Date | 2017-02-09 |