NPI | 1760914279 |
---|---|
Former Name | MARY ELIZABETH ISING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: KS 04-51266) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MO 2025027712) |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MD483891) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-04-03 |
Last Update Date | 2025-08-27 |