NPI | 1821215641 |
---|---|
Former Name | AMANDA ERIN BREHM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA OS014610) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA 20A800) |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA OT011209) | |
Enumeration Date | 2007-04-20 |
Last Update Date | 2023-03-30 |