NPI | 1811124753 |
---|---|
Former Name | MELISSA SMARR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: NH 16041) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: KS 94-07141) |
Enumeration Date | 2009-06-18 |
Last Update Date | 2013-06-30 |