| NPI | 1477747459 |
|---|---|
| Former Name | MARY HELEN NICODEMUS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZF0201X Pathology, Forensic Pathology (Licence: MO 200101857) |
| Additional Taxonomies | 207ZF0201X Pathology, Forensic Pathology (Licence: MO 2001010857) |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2007-08-31 |