NPI | 1609213412 |
---|---|
Former Name | REBECCA ZIPPORAH GRAYSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 279429) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MD447767) |
Enumeration Date | 2013-06-03 |
Last Update Date | 2021-07-09 |