| NPI | 1164863494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA A135269) |
| 208600000X Surgery (Licence: CA A135269) | |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2022-11-17 |