| NPI | 1033403647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CT 1.061545) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MT199964) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WV 26901) | |
| 208D00000X General Practice (Licence: CA A136255) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT199964) | |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2021-12-23 |