| NPI | 1861712143 |
|---|---|
| Former Name | CRYSTAL STARDUST HARRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WI 69444) |
| Additional Taxonomies | 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: WI 69444) |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2023-02-28 |