| NPI | 1710205737 |
|---|---|
| Former Name | ANDREA BETH CARLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MN 57189) |
| Enumeration Date | 2010-05-14 |
| Last Update Date | 2020-08-26 |