| NPI | 1154636462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX Q6363) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX Q6363) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 12672i) | |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2025-03-19 |