| NPI | 1902368236 |
|---|---|
| Former Name | BRANDI C WARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WA MD61365568) |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2024-06-11 |