| NPI | 1720303662 |
|---|---|
| Former Name | NICOLE BARA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NJ 25MB09321500) |
| Additional Taxonomies | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: KY 03343) |
| Enumeration Date | 2010-04-04 |
| Last Update Date | 2022-12-09 |