| NPI | 1306233366 |
|---|---|
| Former Name | AMANDA SHELTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZF0201X Pathology, Forensic Pathology (Licence: UT 10094334-1205) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2020-08-18 |