| NPI | 1346781630 |
|---|---|
| Former Name | CHARISSE LIZ BASTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WI 81200) |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2023-10-02 |