| NPI | 1609164227 |
|---|---|
| Former Name | DEIDRA FAWN NAYLOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WV 21489) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: SC 21492) |
| Enumeration Date | 2011-07-17 |
| Last Update Date | 2011-07-17 |