NPI | 1104280262 |
---|---|
Former Name | JENNA LYNN BATEMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0213X Pathology, Pediatric Pathology (Licence: CO DR.0063383) |
Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: CO DR.0063383) |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CO DR.0063383) | |
Enumeration Date | 2016-04-05 |
Last Update Date | 2024-10-28 |