| NPI | 1457699209 |
|---|---|
| Former Name | STEPHANIE M BUCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: MI 4301098790) |
| Enumeration Date | 2013-01-29 |
| Last Update Date | 2015-06-23 |