| NPI | 1497748313 |
|---|---|
| Former Name | CINDALA WALLACE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AL MD.13909) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AL 13909) |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2014-10-09 |