| NPI | 1568996601 |
|---|---|
| Former Name | AMY JANELLE LILLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: NC 2021-01658) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 227131) |
| Enumeration Date | 2017-04-15 |
| Last Update Date | 2023-11-24 |