NPI | 1366641623 |
---|---|
Former Name | KRISTINZA RENEE WOODARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WA ML20008949) |
Additional Taxonomies | 207ZF0201X Pathology, Forensic Pathology (Licence: WI 55914-20) |
Enumeration Date | 2007-07-16 |
Last Update Date | 2011-06-24 |