NPI | 1821686403 |
---|---|
Former Name | AMY VIRGINIA KILLIE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 170300000X Genetic Counselor, MS (Licence: CT 168) |
Additional Taxonomies | 170300000X Genetic Counselor, MS (Licence: RI GC00189) |
Enumeration Date | 2021-01-08 |
Last Update Date | 2025-04-18 |