| 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 |