| NPI | 1669686424 |
|---|---|
| Former Name | SHANNON PAVLICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MI 5101017062) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: MI 5101017062) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2024-04-09 |