NPI | 1154647949 |
---|---|
Former Name | AMANDA CAROLYN LAYNE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: NC 2013-02516) |
Additional Taxonomies | 207ZC0006X Pathology, Clinical Pathology (Licence: AL 35056) |
Enumeration Date | 2010-04-19 |
Last Update Date | 2018-03-17 |