| 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) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2021-09-13 |