NPI | 1003050279 |
---|---|
Former Name | DEBORAH JOHNSON GRIEST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZF0201X Pathology, Forensic Pathology (Licence: TX N0137) |
Additional Taxonomies | 207ZF0201X Pathology, Forensic Pathology (Licence: KS 04-26402) |
207ZF0201X Pathology, Forensic Pathology (Licence: CO 31617) | |
Enumeration Date | 2009-04-30 |
Last Update Date | 2009-04-30 |