NPI | 1922364215 |
---|---|
Former Name | JESSICA MARIE TRACHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AL 33057) |
Enumeration Date | 2012-04-11 |
Last Update Date | 2022-06-28 |