NPI | 1821043894 |
---|---|
Former Name | KATHLEEN D MABEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MN 48759) |
Enumeration Date | 2006-05-24 |
Last Update Date | 2022-02-17 |