| NPI | 1962642231 |
|---|---|
| Former Name | JEANETTE MARIE PRANTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AR E-7534) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: KY n/a) |
| Enumeration Date | 2009-02-26 |
| Last Update Date | 2014-03-28 |