| NPI | 1710305560 |
|---|---|
| Former Name | AUDREY DEEKEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IL 036144258) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IL x) | |
| Enumeration Date | 2014-03-30 |
| Last Update Date | 2018-04-16 |