NPI | 1114073897 |
---|---|
Former Name | AMY MICHELE HANSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CO 45324) |
Enumeration Date | 2007-01-26 |
Last Update Date | 2024-05-22 |