| NPI | 1124413943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: NM MD2020-0151) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NM MD2020-0151) |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: MI 4301508674) | |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2025-08-03 |