NPI | 1326120023 |
---|---|
Former Name | KIMBERLEY GRETCHEN CRONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: MI 4301091039) |
Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: OH 35095061) |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MO 2006001766) | |
Enumeration Date | 2006-10-20 |
Last Update Date | 2017-11-01 |