| NPI | 1063073575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZF0201X Pathology, Forensic Pathology (Licence: DC DO210001782) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 5151013669) |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2023-06-09 |