NPI | 1124394937 |
---|---|
Former Name | AMBER MARTELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: WA MD61073683) |
Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: CA A129195) |
Enumeration Date | 2012-03-26 |
Last Update Date | 2020-08-05 |