NPI | 1881830081 |
---|---|
Former Name | JENNIFER BERO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: IL 036126742) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IL 125053348) |
Enumeration Date | 2008-12-18 |
Last Update Date | 2021-05-14 |