| NPI | 1871721209 |
|---|---|
| Former Name | AMANDA OWEN FISHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: MI 4301094351) |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2009-06-24 |