NPI | 1962105007 |
---|---|
Former Name | KAILEIGH BINGHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: UT 14170519-1205) |
Enumeration Date | 2023-03-27 |
Last Update Date | 2024-10-02 |