| NPI | 1932360849 |
|---|---|
| Former Name | COLETTE DENISE TERRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZD0900X Pathology Dermatopathology (Licence: FL ME108023) |
| Additional Taxonomies | 207ZD0900X Pathology Dermatopathology (Licence: PA MD436150) |
| 207ZD0900X Pathology Dermatopathology (Licence: TX BP10034758) | |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2017-10-12 |