| NPI | 1124448824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: UT 13303540-1205) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: CA A161797) | |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2023-04-11 |