| NPI | 1588364707 |
|---|---|
| Former Name | EMILY JO AMEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246QM0706X Specialist/Technologist, Pathology Medical Technologist (Licence: IA 277104) |
| Enumeration Date | 2023-03-07 |
| Last Update Date | 2023-03-07 |