NPI | 1801162714 |
---|---|
Former Name | LAUREL ROSE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: KY 54077) |
Additional Taxonomies | 207ZP0213X Pathology, Pediatric Pathology (Licence: MO 2018001296) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-03-25 |
Last Update Date | 2021-08-27 |