| NPI | 1801057088 |
|---|---|
| Former Name | TERESA LYNN AUSTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NE 26157) |
| Additional Taxonomies | 207ZC0006X Pathology, Clinical Pathology (Licence: MN 51153) |
| 207ZC0006X Pathology, Clinical Pathology (Licence: MN 103749) | |
| 207ZC0006X Pathology, Clinical Pathology (Licence: CO 45316) | |
| 207ZC0006X Pathology, Clinical Pathology (Licence: NE 26157) | |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2013-12-17 |