| NPI | 1477840742 |
|---|---|
| Former Name | ANGIE DAWN EARHART |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MO 2015004430) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: MO 2015004430) |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2016-06-28 |