| NPI | 1104262880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: KY 51483) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IN 01077548A) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11017041A) | |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2021-04-05 |