| NPI | 1083737340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: FL ME109556) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: NM RS20070382) | |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2021-08-16 |