NPI | 1770808305 |
---|---|
Former Name | JESSICA SUSAN KEBER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZF0201X Pathology, Forensic Pathology (Licence: WI 57036-20) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WI 57036-20) |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MN 57593) | |
Enumeration Date | 2010-04-07 |
Last Update Date | 2020-04-10 |