NPI | 1780663815 |
---|---|
Former Name | SUSAN S PHILLIPS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: SC 15561) |
Enumeration Date | 2006-01-17 |
Last Update Date | 2015-01-09 |