| NPI | 1699837575 |
|---|---|
| Former Name | KIMBERLY TACKITT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: GA 047539) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2024-03-14 |