NPI | 1356728414 |
---|---|
Former Name | ALISHA DENISE GORDY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MD D88677) |
Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: NC 2022-01402) |
Enumeration Date | 2015-04-28 |
Last Update Date | 2024-10-08 |