| NPI | 1609861558 |
|---|---|
| Former Name | PAMELA ANN DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: CA 20A 6606) |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2017-02-17 |