NPI | 1518342120 |
---|---|
Former Name | SANDRA GJORGOVA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: GA 87935) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OH 35.138816) |
Enumeration Date | 2015-07-24 |
Last Update Date | 2024-01-24 |