NPI | 1720573009 |
---|---|
Former Name | LESLIE WOLOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207ZF0201X Pathology, Forensic Pathology (Licence: CA Pending) |
Additional Taxonomies | 207ZF0201X Pathology, Forensic Pathology (Licence: CA 156533) |
Enumeration Date | 2018-06-28 |
Last Update Date | 2018-06-28 |