NPI | 1740647072 |
---|---|
Former Name | JESSICA GRAY BURNEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MD453315) |
Enumeration Date | 2016-01-17 |
Last Update Date | 2016-01-17 |