NPI | 1861710030 |
---|---|
Former Name | JULIE ANN FARRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CO DR.0053430) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: KY R2356) | |
Enumeration Date | 2010-05-12 |
Last Update Date | 2016-08-02 |