NPI | 1619209517 |
---|---|
Former Name | MAY JENNIFER MACARAIG AMOLAT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207ZP0101X Pathology Anatomic Pathology (Licence: NY 229048) |
Additional Taxonomies | 207ZF0201X Pathology Forensic Pathology (Licence: NJ 25MA07920400) |
Enumeration Date | 2010-02-03 |
Last Update Date | 2010-02-03 |