NPI | 1265438972 |
---|---|
Former Name | MARTHA EMILY FOWLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: AL 4088) |
Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: NC 2003-01396) |
207ZD0900X Pathology, Dermatopathology (Licence: FL ME89014) | |
Enumeration Date | 2005-06-27 |
Last Update Date | 2007-07-08 |