NPI | 1508005570 |
---|---|
Former Name | LESLIE EMMA LOPEZ- CALDERON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TN 50640) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NM MD2012-0697) |
Enumeration Date | 2009-02-13 |
Last Update Date | 2015-08-12 |