NPI | 1235524224 |
---|---|
Former Name | JULIEANN CHRISTINE DURHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207ZN0500X Pathology, Neuropathology (Licence: TN 63997) |
Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: TN 63997) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-04-06 |
Last Update Date | 2021-09-14 |