NPI | 1487817607 |
---|---|
Former Name | SHAWN R DE LA MAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IL 036-122861) |
Enumeration Date | 2008-07-08 |
Last Update Date | 2017-02-21 |