| NPI | 1073931580 |
|---|---|
| Former Name | AMANDA STEPHENSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WI 70609-20) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IL 125064429) |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2023-09-19 |