| NPI | 1669797197 |
|---|---|
| Former Name | BROOKE LANE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA A153314) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: MA 253969) |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: CA A153314) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MA 390200000X) | |
| Enumeration Date | 2010-03-26 |
| Last Update Date | 2024-03-14 |