| NPI | 1063821742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OH 35.147552) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S 1302498) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2025-09-10 |