| NPI | 1477178705 |
|---|---|
| Former Name | CHARMAINE PONCE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine (Licence: NY 01433501) |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2020-06-12 |